Special Agent Medical Preplacement

ICR 200301-1140-070

OMB: 1140-0056

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
12812 Migrated
ICR Details
1140-0056 200301-1140-070
Historical Active 200103-1512-004
DOJ/ATF
Special Agent Medical Preplacement
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/24/2003
Retrieve Notice of Action (NOA) 01/24/2003
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004
300 0 0
225 0 0
0 0 0

Information collected will be used to determine whether or not an applicant is actually qualified for the position. The information will be initially used to make a recommendation on either hiring or not hiring an applicant.

None
None


No

1
IC Title Form No. Form Name
Special Agent Medical Preplacement ATF-F-2300.10

  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 300 0 0 300 0 0
Annual Time Burden (Hours) 225 0 0 225 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.
01/24/2003


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