APPLICANT RACE AND NATIONAL ORIGIN QUESTIONNAIRE

ICR 198912-3206-001

OMB: 3206-0095

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
156831 Migrated
ICR Details
3206-0095 198912-3206-001
Historical Active 198209-3206-011
OPM
APPLICANT RACE AND NATIONAL ORIGIN QUESTIONNAIRE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/20/1989
Retrieve Notice of Action (NOA) 12/12/1989
In accordance with 5 CFR 1320.18(f) OMB is approving this request through 3/90. OPM should submit a request in accordance with 5 CFR 1320.12 to seek approval beyond 3/90.
  Inventory as of this Action Requested Previously Approved
03/31/1990 03/31/1990
60,000 0 0
8,000 0 0
0 0 0

OPM USES FORM 1386 TO COLLECT RACE AND NATIONAL ORIGIN DATA FOR DETERMINING IMPACT OF SELECTION PROCEDURES AND FOR COMPLYING WITH PROVISIONS OF LUEVANO V. CAMPBELL, CIVIL ACTION 79-0172, U.S. DISTRICT COURT FOR D.C.

None
None


No

1
IC Title Form No. Form Name
APPLICANT RACE AND NATIONAL ORIGIN QUESTIONNAIRE 1386A, OPM 1386, 1386B

  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 60,000 0 0 0 60,000 0
Annual Time Burden (Hours) 8,000 0 0 0 8,000 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.
12/12/1989


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