Application for Employment with the Board of Governors of the Federal Reserve System

Forms and Documents

Document Name	Status
Form FR 28 Application for Employment with the Board of Governors of the Federal Reserve System Form and Instruction	Modified
Form FR 28i Research Assistant Candidate Survey of Interests Form	Modified
Form FR 28s Applicant's Voluntary Self-Identification Form Form	Modified
FR28_20141013_omb.pdf Supporting Statement A	2014-10-13

IC Document Collections

IC ID	Document Title	Status
36198	Application for Employment with the Board of Governors of the Federal Reserve System Form and Instruction	Modified
182373	Research Assistant Candidate Survey of Interests Form	Modified
182371	Applicant's Voluntary Self-Identification Form Form	Modified

ICR Details

OMB Control No: 7100-0181	ICR Reference No: 201408-7100-006
Status: Historical Active	Previous ICR Reference No: 201011-7100-007
Agency/Subagency: FRS	Agency Tracking No: FR 28, FR 28i, FR 28s
Title: Application for Employment with the Board of Governors of the Federal Reserve System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/13/2014
	Date Received in OIRA: 10/13/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	02/28/2015
Responses	5,800	0	5,800
Time Burden (Hours)	3,558	0	3,558
Cost Burden (Dollars)	0	0	0

---

Abstract: The Application is required to obtain a benefit and collects information to determine the qualifications and availability of applicants for employment with the Federal Reserve Board. The Application collects information on education and training, employment record, military service record, and other information since the time the applicant left high school. Included with the Application are two supplemental questionnaires: (1) The Applicant’s Voluntary Self-Identification Form (FR 28s), which collects information on the applicant’s gender and ethnic group and (2) The Research Assistant Candidate Survey of Interests (FR 28i), which collects information from candidates applying for Research Assistant positions on their level of interest in economics and related areas.

---

Authorizing Statute(s): US Code: 5 USC 552(b)(6) Name of Law: Freedom of Information Act
   US Code: 12 USC 244 and 248(l) Name of Law: Federal Reserve Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 43045	07/24/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 59263	10/01/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Application for Employment with the Board of Governors of the Federal Reserve System	FR 28	Application for Employment with the Board of Governors of the Federal Reserve System
Applicant's Voluntary Self-Identification Form	FR 28s	Applicant's Voluntary Self-Identification Form
Research Assistant Candidate Survey of Interests	FR 28i	Research Assistant Candidate Survey of Interest

---

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	5,800	5,800	0	0	0	0
Annual Time Burden (Hours)	3,558	3,558	0	0	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: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $175,000

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

---

Common Form ICR:  No

---

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: 10/13/2014

---