APPLICANT RACE AND NATIONAL ORIGIN QUESTIONNAIRE

ICR 199211-3206-001

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
156833 Migrated
ICR Details
3206-0095 199211-3206-001
Historical Active 199002-3206-001
OPM
APPLICANT RACE AND NATIONAL ORIGIN QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 01/11/1993
Retrieve Notice of Action (NOA) 11/23/1992
  Inventory as of this Action Requested Previously Approved
11/30/1995 11/30/1995 11/30/1992
100,000 0 60,000
13,330 0 8,000
0 0 0

OPM USES FORM 1386 TO COLLECT RACE AND NATIONAL ORIGIN DATA FROM APPLICANTS FOR COLLEGE ENTRY LEVEL POSITIONS AT GRADES GS-5/7, FOR DETERMINING IMPACT OF SELECTION PROCEDURES, AND FOR COMPLYING WITH PROVISIONS OF LUEVANO V. NEWMAN, CIVIL ACTION 79-0271, U.S. DISTRICT COURT FOR D.C.

None
None


No

1
IC Title Form No. Form Name
APPLICANT RACE AND NATIONAL ORIGIN QUESTIONNAIRE OPM 1336

  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 100,000 60,000 0 0 40,000 0
Annual Time Burden (Hours) 13,330 8,000 0 0 5,330 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.
11/23/1992


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