APPLICATION FOR COUNTY EMPLOYMENT AND SUPPLEMENTAL QUALIFICATIONS STATEMENT

ICR 198901-0560-001

OMB: 0560-0016

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0560-0016 198901-0560-001
Historical Active 198801-0560-002
USDA/FSA
APPLICATION FOR COUNTY EMPLOYMENT AND SUPPLEMENTAL QUALIFICATIONS STATEMENT
Revision of a currently approved collection   No
Regular
Approved without change 03/20/1989
Retrieve Notice of Action (NOA) 01/30/1989
  Inventory as of this Action Requested Previously Approved
03/31/1992 03/31/1992 04/30/1991
15,000 0 14,000
16,000 0 14,000
0 0 0

ASCS-FORMS ASCS-650 AND ASCS-675 ARE USED IN A SPECIFIC ASCS EMPLOYMENT PROCESS FOR WHICH SPECIAL AUTHORITY HAS BEEN GRANTED BY OPM OR THE SECRETARY OF AGRICULTURE.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR COUNTY EMPLOYMENT AND SUPPLEMENTAL QUALIFICATIONS STATEMENT ASCS-650, ASCS-675

  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 15,000 14,000 0 0 1,000 0
Annual Time Burden (Hours) 16,000 14,000 0 0 2,000 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.
01/30/1989


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