Information Collection

Applicant Background Survey

IC 11577 under ICR 200903-1091-001 · OMB 1091-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1091-0001 can be found here:

Documents and Forms

Document Name Document Type
Form DI 1935 Applicant Background Survey Form and Instruction
DI 1935 Applicant Background Survey Applicant Background Survey FORM.doc htto://www.doi.gov/diversity Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Applicant Background Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DI 1935	Applicant Background Survey	Applicant Background Survey FORM.doc	htto://www.doi.gov/diversity	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: Interior Personnel Records, DOI--79	FR Citation: 64 FR 20010

Number of Respondents: 335,820	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	335,820	-199,340	535,160
Annual IC Time Burden (Hours)	11,194	-15,564	26,758
Annual IC Cost Burden (Dollars)	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.