Application for 10-Point Veteran Preference

Forms and Documents

Document Name	Status
Form SF 15 Application for 10-Point Veteran Preference Form and Instruction	Modified
2013-21219.pdf Supplementary Document	2013-10-30
2013-25733.pdf Supplementary Document	2013-10-30
Supporting_Statement__SF-15_093013.doc Supporting Statement A	2013-10-30

IC Document Collections

IC ID	Document Title	Status
33532	Application for 10-Point Veteran Preference Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0001	ICR Reference No: 201310-3206-003
Status: Historical Active	Previous ICR Reference No: 201004-3206-017
Agency/Subagency: OPM	Agency Tracking No:
Title: Application for 10-Point Veteran Preference
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: 12/12/2013
	Date Received in OIRA: 10/30/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	12/31/2013
Responses	22,300	0	18,418
Time Burden (Hours)	3,717	0	6,139
Cost Burden (Dollars)	0	0	0

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Abstract: To adjudicate individuals' claims for veterans' preference in accordance with the Veterans' Preference Act of 1944. The respondents will be disabled veterans, spouses, and mothers of disabled veterans.

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Authorizing Statute(s): US Code: 5 USC 2108 Name of Law: Veterans Preference Act of 1944
   US Code: 5 USC 3309 Name of Law: Veterans Preference Act of 1944
  

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 53794	08/30/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 65010	10/30/2013
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
Application for 10-Point Veteran Preference	SF 15	Application for 10-Point Veteran Preference

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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	22,300	18,418	0	3,882	0	0
Annual Time Burden (Hours)	3,717	6,139	0	-2,422	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: 3206-0001 submissions prior to 2007 only calculated burden as third party disclosure. When this was modified to individual disclosure in 2007, the third party disclosure calculation was not removed. The burden decrease is due to the removal of third party disclosure time.

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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]? 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: 10/30/2013

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