REPORT OF EMPLOYMENT UNDER COMMERCIAL ACTIVITY CONTRACTS (RIGHT OF FIRST REFUSAL REPORT)

ICR 198807-3090-001

OMB: 3090-0104

Federal Form Document

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Name
Status
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ICR Details
3090-0104 198807-3090-001
Historical Active 198506-3090-001
GSA
REPORT OF EMPLOYMENT UNDER COMMERCIAL ACTIVITY CONTRACTS (RIGHT OF FIRST REFUSAL REPORT)
Extension without change of a currently approved collection   No
Regular
Approved without change 09/12/1988
Retrieve Notice of Action (NOA) 07/12/1988
  Inventory as of this Action Requested Previously Approved
09/30/1991 09/30/1991 08/31/1988
150 0 150
75 0 75
0 0 0

FEDERAL EMPLOYEES WHO, AS A RESULT OF A TRANSFER OF WORK FROM IN-HOUSE TO CONTRACT RECEIVE COMPARABLE EMPLOYMENT OFFERS OR ACCEPT EMPLOYMENT WITH THE CONTRACTOR WITHIN 90 DAYS OF THE TRANSFER ARE NOT ELIGIBLE FO SEVERANCE PAY. THIS CLAUSE REQUIRES SUBMISSION OF INFORMATION REGARDING EMPLOYMENT OF FORMER FEDERAL EMPLOYEES.

None
None


No

1
IC Title Form No. Form Name
REPORT OF EMPLOYMENT UNDER COMMERCIAL ACTIVITY CONTRACTS (RIGHT OF FIRST REFUSAL REPORT)

  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 150 150 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 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.
07/12/1988


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