1. Verif. Of Declination Or Failure To Reply And Notice Of Suspension Of Consideration Of Employment, Applicant Identification Form - Supplem Qualifications Statement

1. VERIF. OF DECLINATION OR FAILURE TO REPLY AND NOTICE OF SUSPENSION OF CONSIDERATION OF EMPLOYMENT, APPLICANT IDENTIFICATION FORM - SUPPLEM QUALIFICATIONS STATEMENT

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	1. VERIF. OF DECLINATION OR FAILURE TO REPLY AND NOTICE OF SUSPENSION OF CONSIDERATION OF EMPLOYMENT, APPLICANT IDENTIFICATION FORM - SUPPLEM QUALIFICATIONS STATEMENT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FHLBB 1233				No	No
Form	FHLBB 1234				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,050	0	50	1,000
Annual IC Time Burden (Hours)	2,263	13	2,000	250
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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