Applicant Background Survey

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Applicant Background Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.