VERIFICATION OF PROFESSIONAL EDUCATOR EMPLOYMENT FOR SALARY RATING PURPOSES

ICR 198505-0704-001

OMB: 0704-0226

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0704-0226 198505-0704-001
Historical Active
DOD/DODDEP
VERIFICATION OF PROFESSIONAL EDUCATOR EMPLOYMENT FOR SALARY RATING PURPOSES
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/21/1985
Retrieve Notice of Action (NOA) 05/23/1985
Approval conditional upon the inclusion of the OMB number and expirati date in the upper right-hand corner of the form.
  Inventory as of this Action Requested Previously Approved
06/30/1988 06/30/1988
11,000 0 0
917 0 0
0 0 0

FORM IS USED TO VERIFY AN APPLICANT'S PREVIOUS EXPERIENCE WHICH IS USE TO ESTABLISH RATE OF PAY.

None
None


No

1
IC Title Form No. Form Name
VERIFICATION OF PROFESSIONAL EDUCATOR EMPLOYMENT FOR SALARY RATING PURPOSES DS 5013

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 11,000 0 0 0 11,000 0
Annual Time Burden (Hours) 917 0 0 0 917 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
05/23/1985


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