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Applicant Background Questionnaire - DOL
Applicant Background Questionnaire
OMB: 1225-0072
IC ID: 14719
OMB.report
DOL/DM
OMB 1225-0072
ICR 200810-1225-001
IC 14719
( )
Documents and Forms
Document Name
Document Type
Form HR-1225-0072
Applicant Background Questionnaire - DOL
Form
HR-1225-0072 Applicant Background Questionaire
RNOForm-9--9-2009.rtf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Applicant Background Questionnaire - DOL
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
5 CFR 720.204
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HR-1225-0072
Applicant Background Questionaire
RNOForm-9--9-2009.rtf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,000
0
0
0
0
3,000
Annual IC Time Burden (Hours)
150
0
0
0
0
150
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
