Information Collection

Personal Qualifications Statement And Continuation Sheet For Personal Qualifications Statement, Sf 171 And 171-a

IC 156637 under ICR 198205-3206-001 · OMB 3206-0012.

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IC Title:

PERSONAL QUALIFICATIONS STATEMENT AND CONTINUATION SHEET FOR PERSONAL QUALIFICATIONS STATEMENT, SF 171 AND 171-A

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-171				No	No
Form	& 171A				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,075,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,075,000	216,535	858,465
Annual IC Time Burden (Hours)	1,025,000	229,350	795,650
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.