Occupational Questionnaire

Forms and Documents

Document Name	Status
Form OPM 1203FX Occupational Questionnaire Form	New
SUPPORTING STATEMENT FOR EXTENSION OF OPM FORM 120306 final.doc Supporting Statement A	2006-11-30

IC Document Collections

IC ID	Document Title	Status
46282	Occupational Questionnaire Form	New
33557	Occupational Questionnaire	Removed

ICR Details

OMB Control No: 3206-0040	ICR Reference No: 200611-3206-006
Status: Historical Active	Previous ICR Reference No: 200206-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Occupational Questionnaire
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2007
	Date Received in OIRA: 11/30/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved	01/31/2007
Responses	54,202	0	500,000
Time Burden (Hours)	27,101	0	195,000
Cost Burden (Dollars)	0	0	0

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Abstract: The OPM Form 1203 serves as a collection of information from applicants in a format suitable for automated processing and creates basic applicant records for OPM's automated examining systems. The 1203-EZ was cancelled in FY 2006.

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Authorizing Statute(s): US Code: 5 USC 1104 Name of Law: null
   US Code: 5 USC 1302 Name of Law: null
   US Code: 5 USC 3301 Name of Law: null
   US Code: 5 USC 3304 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	70 FR 216	11/09/2005
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 233	11/30/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Occupational Questionnaire	1203-AW, 1203-FX, 1203-EZ
Occupational Questionnaire	OPM 1203FX	Occupational Questionnaire

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ICR Summary of Burden

	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	54,202	500,000	0	-445,798	0	0
Annual Time Burden (Hours)	27,101	195,000	0	-167,899	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden decreased because the OPM 1203 EZ was removed and the number of applicants that mail hard-copy or FAXed applications has decreased because more applicants use USAJOBS. USAJOBS is an automated application system for Federal employment cleared under 3206-0219.

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Annual Cost to Federal Government: $27,100

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/30/2006

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