Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics

Forms and Documents

Document Name	Status
Form 2243.02 Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics Form	New
2248ss02.doc Supporting Statement A	0000-00-00

IC Document Collections

IC ID	Document Title	Status
179894	Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics Form	New

ICR Details

OMB Control No: 2030-0045	ICR Reference No: 200704-2030-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: EPA/OMS	Agency Tracking No: 2248.02
Title: Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 05/03/2007
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/14/2007
	Date Received in OIRA: 04/27/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2007	6 Months From Approved
Responses	32,590	0	0
Time Burden (Hours)	15,209	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection request is to seek approval to use the Environmental Protection Agency's EZhire, vacancy announcement and job application system to collect gender, race, national origin, and disability information from employees within the agency and outside job applicants. All job applicants, whether internal or external, would be asked to complete, on a voluntary basis, an Applicant Background Questionnaire: Race, National Origin, Gender, and Disability Demographics. This information is not currently being collected nor being reported to the Equal Employment Opportunity Commission (EEOC) and the Office of Personnel Management (OPM). Therefore, EPA is not in compliance with regulations which require the submission of race, national origin, gender, and disability data for various reporting purposes. The Equal Employment Opportunity Commission Management Directive 715, requires agencies to maintain a system that collects and maintains accurate information on the race, national origin, gender and disability of agency employees in accordance with 29 CFR 1614.601; maintain a system that tracks applicant flow data, which identifies applicants by race, national origin, gender, and disability status and disposition of all applications and maintain a tracking system of recruitment activities to permit analyses of these efforts in any examination of potential barriers to equality of opportunity. Management Directive 715 requires agencies to conduct an internal review and analysis of the effects of all current and proposed policies, practices, procedures and conditions that directly or indirectly, relate to the employment of individuals with disabilities based on their race, national origin, gender and disabilities. EPA must collect and evaluate the information and data necessary to make an informed assessment about the extent to which the Agency is meeting its responsibility to provide employment opportunities for qualified applicants and employees with disabilities, especially those with targeted disabilities.

Emergency Justfication: EPA is noncompliant with the Equal Employment Opportunity Commission Management Directive 715 regulation which requires the submission of race, national origin, gender, and disability data for various reporting purposes. This information is essential to the agency mission and its ability and obligation to provide employment opportunities for qualified applicants and employees with disabilities, especially those with targeted disabilities. Therefore, the collection is vital for agency compliance with mandated management directives and reporting requirements; essential to agency missions; necessary for the proper performance of the Office of Human Resources and Office of Civil Rights functions; and will assist in bringing about compliance with the Civil Rights Act of 1964, as amended, which governs all Federal Agency Affirmative Employment Programs. The use of normal clearance procedures will prevent the EPA from complying with EEOC regulations for reporting dates for the annual submission of data and reports that are essential in making informed assessments about the extent to which the agency is meeting its responsibilities and determining agency success in recruiting, hiring, developing, and training a diverse workforce.

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Authorizing Statute(s): None

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

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
Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics	2243.02	Applicant Background 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	32,590	0	0	32,590	0	0
Annual Time Burden (Hours)	15,209	0	0	15,209	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: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $83,486

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: 04/27/2007

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