Census Employment Inquiry

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BC-170D Census Employment Inquiry-BC170D	Form	Modified	Available
Form BC-170B Census Employment Inquiry-BC170B	Form	Modified	Available
Form BC-170A Census Employment Inquiry-BC170A	Form	Modified	Available
Proposed changes to BC170.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2012-07-20	Available
Supporting Statement12232014.docx	Supporting Statement A	Uploaded 2014-12-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3363	Census Employment Inquiry	Form	Modified	Census Employment Inquiry-BC170D
3363	Census Employment Inquiry	Form	Modified	Census Employment Inquiry-BC170B
3363	Census Employment Inquiry	Form	Modified	Census Employment Inquiry-BC170A

ICR Details

OMB Control No: 0607-0139	ICR Reference No: 201412-0607-003
Status: Historical Active	Previous ICR Reference No: 201207-0607-003
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Census Employment Inquiry
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/06/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/09/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	36 Months From Approved	02/28/2015
Responses	65,000	0	65,000
Time Burden (Hours)	16,250	0	16,250
Cost Burden (Dollars)	0	0	0

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Abstract: The BC-170A, BC-170B and the BC-170D are used to collect information such as personal data and work experience from job applicants. The completed form will be used to determine the best qualified applicants to fill census jobs.

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Authorizing Statute(s): US Code: 13 USC 23 a & c
  

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 27572	05/14/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 78783	12/31/2014
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Census Employment Inquiry	BC-170B, BC-170D, BC-170A	Census Employment Inquiry-BC170A ,   Census Employment Inquiry-BC170B ,   Census Employment Inquiry-BC170D

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ICR Summary of Burden

table that charts list 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	65,000	65,000	0	0	0	0
Annual Time Burden (Hours)	16,250	16,250	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:

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Annual Cost to Federal Government: $157,500

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: 01/09/2015

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