Applicant Survey

Forms and Documents

Document Name	Status
Form NSF-1232 Applicant Survey Form and Instruction	Modified
42 USC 2000e-16_ Employment by Federal Government.pdf Supplementary Document	2014-06-12
5 USC 7201_ Antidiscrimination policy; minority recruitment program.pdf Supplementary Document	2014-06-12
3145-0096 2014 Supporting Statement.docx Supporting Statement A	2014-06-12

IC Document Collections

IC ID	Document Title	Status
33004	Applicant Survey Form and Instruction	Modified

ICR Details

OMB Control No: 3145-0096	ICR Reference No: 201406-3145-001
Status: Historical Active	Previous ICR Reference No: 201105-3145-001
Agency/Subagency: NSF	Agency Tracking No:
Title: Applicant Survey
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: 08/04/2014
	Date Received in OIRA: 06/12/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	36 Months From Approved	08/31/2014
Responses	4,000	0	4,000
Time Burden (Hours)	200	0	67
Cost Burden (Dollars)	0	0	0

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Abstract: Data collected from applicants for NSF positions is needed to examine racial/sexual/disability composition and to determine the source of information about NSF vacancies.

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Authorizing Statute(s): US Code: 42 USC 1861 et seq. Name of Law: National Science Foundation Act of 1950
   US Code: 42 USC 2000e-16 Name of Law: Employment by Federal Government
   US Code: 5 USC 7201 Name of Law: Antidiscrimination policy; minority recruitment program
  

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:
	79 FR 18322	04/01/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 33787	06/12/2014
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
Applicant Survey	NSF-1232	Applicant Survey

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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	4,000	4,000	0	0	0	0
Annual Time Burden (Hours)	200	67	0	133	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: The Human Resources Management Office re-evaluated the time needed to complete the NSF-1232, and found additional time was needed than was previously requested. This provides a more accurate accounting of the burden.

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Annual Cost to Federal Government: $683

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: 06/12/2014

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