SUPPORTING STATEMENT
Form 12884
CIRCUMSTANCES NECESSITATING COLLECTION OF INFORMATION
This form allows the Personnel Office to collect statistical data regarding what advertising media an applicant used to find out about our vacant positions. It also collects RNO information that is recorded in the database for EEO reporting.
USE OF DATA
This form will be completed by applicants to collect statistical data regarding advertising media and to collects RNO information that is recorded in the TIMIS database for EEO statistics and reporting.
USE OF IMPROVED INFORMATION TECHNOLOGY TO REDUCE BURDEN
We have no plans at this time to offer electronic filing because of low volume compared to the cost of electronic enabling.
EFFORTS TO IDENTIFY DUPLICATION
We have attempted to eliminate duplication within the agency wherever possible.
METHODS TO MINIMIZE BURDEN ON SMALL BUSINESS OR OTHER SMALL ENTITIES
Not applicable
CONSEQUENCES OF LESS FREQUENT COLLECTION ON FEDERAL PROGRAMS OR POLICY ACTIVITIES
Not applicable
SPECIAL CIRCUMSTANCES REQUIRING DATA COLLECTION TO BE INCONSISTENT WITH GUIDELINES IN 5 CFR 1320.5(D) (2)
Not applicable
CONSULTATION WITH INDIVIDUALS OUTSIDE OF THE AGENCY ON AVAILABILITY OF DATA, FREQUENCY OF COLLECTION, CLARITY OF INSTRUCTIONS AND FORMS AND DATA ELEMENTS
We received no comments during the comment period in response to the Federal Register notice dated June 5, 2008 (73 FR 32082).
EXPLANATION OF DECISION TO PROVIDE ANY PAYMENT OR GIFT TO RESPONDENTS
Not applicable
ASSURANCE OF CONFIDENTIALITY OF RESPONSES
Information submitted by applicants is confidential as required by USC 552a.
11. JUSTIFICATION OF SENSITIVE QUESTIONS
Not applicable
12. ESTIMATED BURDEN OF INFORMATION COLLECTION
Number of Time per Total
Responses Response Hours
Form 12884 33,085 5 minutes 2,757
Estimates of the annualized cost to respondents for the hour burdens shown are not available at this time.
13. ESTIMATED TOTAL ANNUAL COST BURDEN TO RESPONDENTS
As suggested by OMB, our Federal Register notice dated June 5, 2008 (73 FR 32082), requested public comments on estimates of cost burden that are not captured in the estimates of burden hours, i.e., estimates of capital or start-up costs and costs of operations, maintenance, and purchase of services to provide information. However, we did not receive any response form taxpayers on this subject. As a result, estimates of the cost burdens are not available at this time.
14. ESTIMATED ANNUALIZED COST TO THE FEDERAL GOVERNMENT
The primary cost to the government consists of the cost of printing. Printing of Form12884 is done as part of an application booklet at a cost of $2,950.00.
15. REASONS FOR CHANGE IN BURDEN
There are no changes being made to Form 12884. We are making this submission to renew the OMB approval.
16. PLANS FOR TABULATION, STATISTICAL ANALYSIS AND PUBLICATION
Not Applicable
17. REASONS WHY DISPLAYING THE OMB EXPIRATION DATE IS INAPPROPRIATE
See attachment.
18. EXCEPTIONS TO THE CERTIFICATION STATEMENT ON OMB FORM 83-I
Not applicable
Note: The following paragraph applies to all of the collections of information in this submission:
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays a valid OMB control number. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103.
| File Type | application/msword |
| File Title | Supporting Statement – Form 12885; Supplement to OF-612, Optional Application for Federal Employment |
| Author | ljmccar6 |
| Last Modified By | J11FB |
| File Modified | 2008-08-20 |
| File Created | 2004-12-22 |