DRUG-FREE WORKPLACE

ICR 199212-9000-011

OMB: 9000-0101

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
162116
Migrated
ICR Details
9000-0101 199212-9000-011
Historical Active 198912-9000-021
FAR
DRUG-FREE WORKPLACE
Revision of a currently approved collection   No
Regular
Approved without change 02/25/1993
Retrieve Notice of Action (NOA) 12/31/1992
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996 03/31/1993
600 0 20
400 0 5
0 0 0

THE SUBJECT CONTRACT CLAUSE AT 52.223-6 REQUIRES (1) CONTRACT EMPLOYEES TO NOTIFY THEIR EMPLOYER OF ANY CRIMINAL DRUG STATUTE CONVICTION FOR A VIOLATION OCCURRING IN THE WORKPLACE AND (2) GOVERNMENT CONTRACTORS, AFTER RECEIVING NOTICE OF SUCH CONVICTION, TO NOTIFY THE CONTRACTING OFFICER.

None
None


No

1
IC Title Form No. Form Name
DRUG-FREE WORKPLACE

  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 600 20 0 0 580 0
Annual Time Burden (Hours) 400 5 0 0 395 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.
12/31/1992


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