EMPLOYER AND PERSONAL REFERENCE INQUIRY FORM

ICR 199105-1076-001

OMB: 1076-0128

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
118799
Migrated
ICR Details
1076-0128 199105-1076-001
Historical Active
DOI/BIA
EMPLOYER AND PERSONAL REFERENCE INQUIRY FORM
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/11/1991
Retrieve Notice of Action (NOA) 05/08/1991
  Inventory as of this Action Requested Previously Approved
06/30/1994 06/30/1994
6,000 0 0
1,000 0 0
0 0 0

PREEMPLOYMENT TELEPHONE INQUIRIES ON THE TENTATIVELY SELECTED APPLICANT TO ENSURE SUITABILITY OF EMPLOYMENT FOR ALL POSITIONS THAT HAVE ROUTINE CONTACT WITH OR CONTROL OVER CHILDREN. INQUIRIES INCLUDE THREE PREVIOUS EMPLOYERS REFERENCES. INQUIRIES WILL INVOLVE APPROXIMATELY 6000 PUBLIC CONTACTS PER YEAR. FEW POTENTIAL RESPONDENT WILL BE CONTACTED MORE THAN ONCE FOR NO MORE THAN 10 TO 15 MINUTES.

None
None


No

1
IC Title Form No. Form Name
EMPLOYER AND PERSONAL REFERENCE INQUIRY FORM

  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 6,000 0 0 6,000 0 0
Annual Time Burden (Hours) 1,000 0 0 1,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
05/08/1991


© 2024 OMB.report | Privacy Policy