Personal Information Questionnaire

ICR 200702-0703-001

OMB: 0703-0012

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
0000-00-00
IC Document Collections
IC ID
Document
Title
Status
5207 Modified
ICR Details
0703-0012 200702-0703-001
Historical Active 200401-0703-001
DOD/NAVY
Personal Information Questionnaire
Extension without change of a currently approved collection   No
Regular
Approved without change 03/31/2007
Retrieve Notice of Action (NOA) 02/27/2007
  Inventory as of this Action Requested Previously Approved
03/31/2010 36 Months From Approved 03/31/2007
16,700 0 16,700
4,175 0 4,175
121,576 0 0

The Personal Information Questionnaire is used by the Marine Corps as a standardized methodin rating officer program applicants in the areas of character, leadership, ability, and suitability for service as a commissioned officer. The respondents are individuals who are familiar with the applicants.

None
None

Not associated with rulemaking

  71 FR 68568 11/27/2006
72 FR 8702 02/27/2007
No

1
IC Title Form No. Form Name
Personal Information Questionnaire NAVMC 100064 Personal Information Questionnaire

  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 16,700 16,700 0 0 0 0
Annual Time Burden (Hours) 4,175 4,175 0 0 0 0
Annual Cost Burden (Dollars) 121,576 0 0 121,576 0 0
No
No

$121,617
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Patricia Toppings 703 696-5284 [email protected]

  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.
02/27/2007


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