Occupational Questionnaire

Forms and Documents

Document Name	Status
Form OPM 1203 FX Occupational Questionnaire Form and Instruction	Modified
Supporting Statement OPM Form 1203 revised vky.doc Supporting Statement A	2013-09-30
2013-14771.pdf Supplementary Document	2013-09-30
2013-23836.pdf Supplementary Document	2013-09-30

IC Document Collections

IC ID	Document Title	Status
46282	Occupational Questionnaire Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0040	ICR Reference No: 201309-3206-002
Status: Historical Active	Previous ICR Reference No: 201004-3206-023
Agency/Subagency: OPM	Agency Tracking No:
Title: Occupational Questionnaire
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/09/2013
	Date Received in OIRA: 09/30/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	12/31/2013
Responses	10,286,701	0	3,484,764
Time Burden (Hours)	7,715,026	0	2,613,573
Cost Burden (Dollars)	0	0	0

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Abstract: The OPM Form 1203 FX serves as a collection of information from applicants in a format suitable for automated processing and creates applicant records in OPM's automated examining system.

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Authorizing Statute(s): US Code: 5 USC 1104 Name of Law: null
   US Code: 5 USC 1302 Name of Law: null
   US Code: 5 USC 3304 Name of Law: null
   US Code: 5 USC 3301 Name of Law: null
  

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:
	78 FR 37245	06/20/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 59983	09/30/2013
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Occupational Questionnaire	OPM 1203 FX	Occupational Questionnaire

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	10,286,701	3,484,764	0	6,801,937	0	0
Annual Time Burden (Hours)	7,715,026	2,613,573	0	5,101,453	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: OPM reported a burden estimate of 2,613,573 hours in 2009. We are increasing that burden estimate by 7.715,026 hours. The change is due to the substantial increase in the number of respondents completing the OPM Form 1203-FX. Since 2009, there have been significant increases in the number of Federal agencies utilizing the OPM Form 1203FX and a substantial increase interest in Federal employment which has led to tremendous increase in the number of applicants.

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Annual Cost to Federal Government: $468,280

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 09/30/2013

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