This form is
approved for use through 10/31/84 on the condition that Question 11
is eliminated ("Do you have any reason to question this person's
loyalty to the United States?). Since VA hires few employees in
critical, security-sensitive positions, this question has no
practical utility.
Inventory as of this Action
Requested
Previously Approved
10/31/1984
10/31/1984
50,000
0
0
12,500
0
0
0
0
0
VAFL 5-127 IS USED BY PERSONNEL
OFFICES TO HELP DETERMINE APPLICANTS' FITNESS AND QUALIFICATIONS
FOR EMPLOYMENT. IN ADDITION, SINCE THE AGENCY HAS RESPONSIBILITY
FOR DETERMINING THE SUITABILITY OF APPLICANT FOR POSITIONS IN THE
EXCEPTED SERVICE, THIS FORM IS USED TO HELP COLLE THE REQUIRED
INFORMATION.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.