Employment Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 EMPLOYEE APPLICATION	Form	Modified	Available
Form 17900 REQUEST FOR EXTENSION - VETERAN'S PREFERENCE DOCUMENTS	Form and Instruction	Modified	Available
Form 17878 APPLICANT INFORMATION SHEET	Form	Modified	Available
Form 17353 CONTRACTOR SECURITY QUESTIONNAIRE	Form and Instruction	Modified	Available
Form 13045A PERSONNEL SECURITY QUESTIONNAIRE	Form and Instruction	Modified	Available
Form 9871 DATA ON CONVICTIONS	Form and Instruction	Modified	Available
Form 3595 VETERAN STATUS INFORMATION	Form and Instruction	Modified	Available
TVA ACT OF 1933_Section 3.doc	Supplementary Document	Uploaded 2007-10-02	Available
OMB Supporting Statement_Employee Application.doc	Supporting Statement A	Uploaded 2007-10-02	Available
Burden Estimate Statement.doc	Supplementary Document	Uploaded 2007-10-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
35863	Employment Application	Form	Modified	EMPLOYEE APPLICATION
35863	Employment Application	Form and Instruction	Modified	REQUEST FOR EXTENSION - VETERAN'S PREFERENCE DOCUMENTS
35863	Employment Application	Form	Modified	APPLICANT INFORMATION SHEET
35863	Employment Application	Form and Instruction	Modified	CONTRACTOR SECURITY QUESTIONNAIRE
35863	Employment Application	Form and Instruction	Modified	PERSONNEL SECURITY QUESTIONNAIRE
35863	Employment Application	Form and Instruction	Modified	DATA ON CONVICTIONS
35863	Employment Application	Form and Instruction	Modified	VETERAN STATUS INFORMATION

ICR Details

OMB Control No: 3316-0063	ICR Reference No: 200709-3316-001
Status: Historical Inactive	Previous ICR Reference No: 200311-3316-001
Agency/Subagency: TVA	Agency Tracking No:
Title: Employment Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 10/18/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/02/2007
Terms of Clearance: This ICR is returned as improperly submitted because it is an expired collection in violation of the PRA. TVA should resubmit this as a “reinstatement” either with or without changes to the previously approved collection. TVA should also take into account the burdens due to Violation of the PRA.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved	10/31/2007
Responses	0	0	17,543
Time Burden (Hours)	0	0	17,543
Cost Burden (Dollars)	0	0	0

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Abstract: Applications for employment are needed to collect qualifications, determine suitability & veterans preference, & to make com- parative appraisals & assist in selections. Affected public consists of individuals who voluntary apply for employment.

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Authorizing Statute(s): Statute at Large: 48 Stat. 59 Name of Statute: TVA Act of 1933 Section 3
   Statute at Large: 86 Stat. 206 Name of Statute: TVA Act of 1933 Section 3
  

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:
	72 FR 161	08/20/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 44	03/07/2007
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Employment Application	13045A, 17878, 17900, 1, 3595, 9871, 17353	VETERAN STATUS INFORMATION ,   DATA ON CONVICTIONS ,   PERSONNEL SECURITY QUESTIONNAIRE ,   CONTRACTOR SECURITY QUESTIONNAIRE ,   APPLICANT INFORMATION SHEET ,   REQUEST FOR EXTENSION - VETERAN'S PREFERENCE DOCUMENTS ,   EMPLOYEE APPLICATION

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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: Reason for the burden increase is because more people are applying for positions.

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Annual Cost to Federal Government: $0

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: 10/02/2007

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