Race and National Origin Identification

ICR 200509-1505-001

OMB: 1505-0195

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
15251 Migrated
ICR Details
1505-0195 200509-1505-001
Historical Active 200505-1505-001
TREAS/DO
Race and National Origin Identification
Revision of a currently approved collection   No
Regular
Approved without change 11/25/2005
Retrieve Notice of Action (NOA) 09/26/2005
  Inventory as of this Action Requested Previously Approved
11/30/2008 11/30/2008 11/30/2005
160,000 0 160,000
8,000 0 8,000
0 0 0

This form will be used to collect applicant race and national origin information electronically. The data will be used to help Treasury Bureaus identify barriers to selection and determine the demographics of the overall applicant pool.

None
None


No

1
IC Title Form No. Form Name
Race and National Origin Identification TDF-35-08

  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 160,000 160,000 0 0 0 0
Annual Time Burden (Hours) 8,000 8,000 0 0 0 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.
09/26/2005


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