NRC Form 212, Qualifications Investigation

ICR 200110-3150-002

OMB: 3150-0033

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
42793 Migrated
ICR Details
3150-0033 200110-3150-002
Historical Active 200107-3150-001
NRC
NRC Form 212, Qualifications Investigation
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/05/2001
Retrieve Notice of Action (NOA) 10/05/2001
  Inventory as of this Action Requested Previously Approved
09/30/2004 09/30/2004 09/30/2004
1,400 0 1,400
350 0 350
0 0 53,000

Information requested on NRC Form 212 is used to determine the qualifications and suitability of external applications for employment in professional positions with the NRC. The completed form may be used to examine, rate and/or assess the prospective employee's qualifications. The information regarding the qualifications of applicants for employment is reviewed by pro- fessional personnel of the Office of Human Resources, in conjunc- tion with other information in the NRC files to determine the qualifications of the applicant for appointment to the position under consideration.

None
None


No

1
IC Title Form No. Form Name
NRC Form 212, Qualifications Investigation 212

  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 1,400 1,400 0 0 0 0
Annual Time Burden (Hours) 350 350 0 0 0 0
Annual Cost Burden (Dollars) 0 53,000 0 -53,000 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.
10/05/2001


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