Information Collection

State and Local Government

IC 210913 under ICR 201504-1220-001 · OMB 1220-0188.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ORS Form 1 PP-1G State and Local Government	Form
ORS Form 1 PP-1G Establishment Collection Form for Government FinalORS2014EstablishForm1PP-1G.doc	Form
ORS Form 2 PP-2G ORS Earnings Form (Government) FinalORS2014EarningForm2 PP-2g .doc	Form
ORS Form 3 PP-3G ORS Leveling Form FinalORS201Worklevelform3 PP-3G.doc	Form
ORS Form 4PPD-4G ORS Form ORS Form 4 PPD-4G final 6-10-14.docx	Form
Attachment B - Cog Cognitive Elements Form Attachment B - Cognitive Element Questions.docx	Form
Attachment C - Job Attachment C - Job Observation Recording Form Attachment C - Job Observation Recording Form.docx	Form
Attachment A - Recruitment Script.docx Attachment A - Contact Script	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ORS Form 1 PP-1G	Establishment Collection Form for Government	FinalORS2014EstablishForm1PP-1G.doc	Yes	No	Printable Only
Form	ORS Form 2 PP-2G	ORS Earnings Form (Government)	FinalORS2014EarningForm2 PP-2g .doc	Yes	No	Printable Only
Form	ORS Form 3 PP-3G	ORS Leveling Form	FinalORS201Worklevelform3 PP-3G.doc	Yes	No	Printable Only
Form	ORS Form 4PPD-4G	ORS Form	ORS Form 4 PPD-4G final 6-10-14.docx	Yes	No	Printable Only
Form	Attachment B - Cognitve Element Form	Cognitive Elements Form	Attachment B - Cognitive Element Questions.docx	Yes	No	Printable Only
Form	Attachment C - Job Observation Form	Attachment C - Job Observation Recording Form	Attachment C - Job Observation Recording Form.docx	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 382

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	401	0	401
Annual IC Time Burden (Hours)	836	73	763
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment A - Contact Script	Attachment A - Recruitment Script.docx	04/14/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.