White House Fellows Commision Application

Forms and Documents

Document Name	Status
Form WHF Application Application Form and Instruction	New
Emergency Extension Request -- WHF Application FINAL.docx Supplementary Document	2014-10-22
Executive Order 11183.pdf Supplementary Document	2014-10-22
WHF Supporting Statement FINAL.doc Supporting Statement A	2014-10-22

IC Document Collections

IC ID	Document Title	Status
213578	Application Form and Instruction	New

ICR Details

OMB Control No: 3206-0265	ICR Reference No: 201410-3206-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: White House Fellows Commision Application
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/29/2014
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2014
	Date Received in OIRA: 10/22/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	6 Months From Approved
Responses	750	0	0
Time Burden (Hours)	15,000	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The White House Fellows application is utilized for a competitive application process for the White House fellowship, a one year public service and leadership program administered by the President's Commission on White House Fellowships. Established in 1964 by President Lyndon B. Johnson, the White House Fellows program's mission is to expose promising Americans to first-hand, high-level experience in the Federal government. In order to apply to be a White House Fellow, interested individuals must complete an online application. The President's Commission on White House Fellowships collects the information in this application under the authority of Executive Order 11183, as amended, in order to operate its competitive application process. Submission of information is voluntary. The primary purpose of the information is to process, evaluate and select fellowship recipients. This collection was previously approved under the OMB number 3406-0046. OPM intends to provide administrative assistance to ensure the maintained compliance of this collection.

Emergency Justfication: Subject: Request for an emergency extension for White House Fellows application From: Jennifer Y. Kaplan, Director President’s Commission on White House Fellowships Contact: Sophie Kim Goldmacher, Deputy Director President’s Commission on White House Fellowships [email protected] / 202-395-4522 Contact: Steve Pierce, Government Information Specialist Office of Personnel Management [email protected] / 202-606-2560 Date: October 22, 2014 The President’s Commission on White House Fellowships respectfully submits this request for emergency extension for continued use of the White House Fellows application. The application for the 2015-2016 cycle is set to launch on November 1, 2014, with an open period until January 15, 2015. A central component of the administration of the White House Fellows program is the White House Fellows application. The effective and timely launch of the application on November 1, 2014 is critical to the mission and functions of the White House Fellows program. This year marks a particularly important milestone in the program’s history. Fifty years ago, President Lyndon B. Johnson established the President’s Commission on White House Fellowships and over the course of nine presidential administrations, the nonpartisan White House Fellows program has become the nation’s premier fellowship for public service and leadership. Since its inception, the White House Fellows program has sought, cultivated, and produced an impressive group of leaders. The program’s mission is to expose Fellows to first-hand, high-level experience in the Federal government. The program consists of a full-time work placement in the offices of Cabinet Secretaries, senior White House staff, and other high-ranking Administration officials. Fellows also participate in a robust education program designed to provide a behind-the-scenes look into the inner workings of the Federal government. The President’s Commission on White House Fellowships has historically been compliant with the Paperwork Reduction Act requirements. However, due to staff changes and over transitions in presidential Administrations, some of the institutional knowledge with respect to the White House Fellows application was not transferred. Consequently, there has been a lapse in the program’s compliance with the Act and OMB’s processes, which the program learned about only recently. The White House Fellows program regards compliance a top priority and seeks to do so as expeditiously as possible. Particularly in light of the 50th anniversary of the White House Fellows program, it is incredibly important that the White House Fellows application launches on the scheduled date of November 1, 2014, which is a date that has been widely advertised. Thank you for your consideration of this emergency extension request for the White House Fellows application.

---

Authorizing Statute(s): EO: EO 11183 Name/Subject of EO: Establishing the President's Commission on White House Fellowships
  

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

Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Application	WHF Application	White House Fellows Application

---

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	750	0	0	750	0	0
Annual Time Burden (Hours)	15,000	0	0	15,000	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: Application is being reported for PRA compliance.

---

Annual Cost to Federal Government:

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: 10/22/2014

---