U.S. Coast Guard Non-Appropriated Fund Employment Application

Forms and Documents

Document Name	Status
USCG-2013-0222_1625-NEW_SS_r4_2011_.docx Supporting Statement A	2014-05-29
5 USC 3320.pdf Supplementary Document	2014-05-29
5 USC 3301.pdf Supplementary Document	2014-05-29
5 USC 2103.pdf Supplementary Document	2014-05-29
5 USC 1104.pdf Supplementary Document	2014-05-29
5 USC 301.pdf Supplementary Document	2014-05-29
1625-NEW 30-Day FRN.doc Supplementary Document	2013-12-18
DHS USCG -- 018 Exchange System and MWR SORN.pdf Supplementary Document	2013-09-26
1625-NEW 60-Day FRN.doc Supplementary Document	2013-09-26

IC Document Collections

IC ID	Document Title	Status
208832	U.S. Coast Guard Non-Appropriated Fund Employment Application Instruction	Modified

ICR Details

OMB Control No: 1625-0120	ICR Reference No: 201405-1625-010
Status: Historical Active	Previous ICR Reference No: 201309-1625-004
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: U.S. Coast Guard Non-Appropriated Fund Employment Application
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/17/2014
	Date Received in OIRA: 07/22/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved
Responses	8,400	0	0
Time Burden (Hours)	5,544	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The employment application is needed to allow individuals without resumes and/or computers access to apply for employment in the Coast Guard non-appropriated fund (NAF) workforce. Application needed to fill the void created when the OPM form OF-612, Optional Application for Federal Employment was cancelled.

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Authorizing Statute(s): US Code: 5 USC 301 Name of Law: Departmental Regulations
   US Code: 5 USC 1104 Name of Law: Delegation of Authority for Personnel Management
   US Code: 5 USC 1302 Name of Law: Regulations
   US Code: 5 USC 2103 Name of Law: The Excepted Service
   US Code: 5 USC 3301 Name of Law: Civil Service; Generally
   US Code: 5 USC 3304 Name of Law: Competitive Service; Examinations
   US Code: 5 USC 3320 Name of Law: Excepted Service; Government of the District of Columbia; Selection
  

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 26798	05/08/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 52939	08/27/2013
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
U.S. Coast Guard Non-Appropriated Fund Employment Application	CG-1227B	U.S. Coast Guard Non-Appropriated Fund Employment Application

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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	8,400	0	0	0	0	8,400
Annual Time Burden (Hours)	5,544	0	0	0	0	5,544
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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $13,125

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: 07/22/2014

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