Information Collection

Applicant Background Survey

IC 32555 under ICR 200608-3095-020 · OMB 3095-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA 3035 Applicant Background Survey	Form and Instruction
NA 3035 Applicant Background Survey NA3035_03_07final.doc www.archives.gov/careers/jobs/forms/background.html	Form and Instruction
SS_NA_3035_12_06final.doc Supporting Statement	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA 3035	Applicant Background Survey	NA3035_03_07final.doc	http://www.archives.gov/careers/jobs/forms/background.html	Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,547

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,547	2,954	2,593
Annual IC Time Burden (Hours)	462	246	216
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	SS_NA_3035_12_06final.doc	03/14/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.