PERSONAL HISTORY STATEMENT FOR POSSIBLE NOMINATION TO AN ADVISORY COMMITTEE

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

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IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
103883	PERSONAL HISTORY STATEMENT FOR POSSIBLE NOMINATION TO AN ADVISORY COMMITTEE	Form	Migrated

ICR Details

OMB Control No: 0605-0003	ICR Reference No: 198708-0605-002
Status: Historical Inactive	Previous ICR Reference No: 198407-0605-001
Agency/Subagency: DOC/ADMIN	Agency Tracking No:
Title: PERSONAL HISTORY STATEMENT FOR POSSIBLE NOMINATION TO AN ADVISORY COMMITTEE
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Disapproved	Conclusion Date: 11/04/1987
	Date Received in OIRA: 08/11/1987
Terms of Clearance: In accordance with 5 CFR 1320, OMB disapproves this information collection because it fails to demonstrate practical utility, as required by the Paperwork Reduction Act. The Personal History Statement is used by the Department of Commerce to collect background information on candidates for the Department's advisory committees. Most information gathered by this Statement may be easily obtained from standard resume. Virtually all candidates for advisory committees have such a resume on hand, and the resume often provides additional information, such as publications, that may be important qualifications but are not asked for on the Statement. Those items not typically on resumes, such as place of birth, can be requested in the Department letter asking for a resume. Finally, according to the Justification, only one other Federal department, Agriculture, uses such a form for advisory committees, and does so under a specific statutory mandate to prevent professional conflicts of interest.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		11/04/1987	12/31/1987
Responses	0	0	500
Time Burden (Hours)	0	0	125
Cost Burden (Dollars)	0	0	0

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Abstract: TO COLLECT BACKGROUND INFORMATION ON POTENTIAL NOMINEES TO THE DEPARTMENT'S ADVISORY COMMITTEES.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
PERSONAL HISTORY STATEMENT FOR POSSIBLE NOMINATION TO AN ADVISORY COMMITTEE	CD-555

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/11/1987

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