Information Collection

US Park Police Personal History Statement Questionnaire

IC 11182 under ICR 200706-1024-001 · OMB 1024-0245.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0245 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USPP Form 1 United States Park Police Personal History Statement Questionnaire US Park Police Personal History Statement Questionnaire	Form and Instruction
Revised COVER PAGE, 1024-0245.doc	Other-Front Cover
USPP Form 1 United States Park Police Personal History Statement Que October OMB PHS.pdf	Form and Instruction

IC Title:

US Park Police Personal History Statement Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	USPP Form 1				No		Paper Only
Other-Front Cover					No		Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

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	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	4,800	4,800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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