WHITE HOUSE FELLOWS APPLICATION

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 001 WHITE HOUSE FELLOWS APPLICATION	Form and Instruction	New	Repair queued
WHF_30 FRN_2015.pdf	Supplementary Document	Uploaded 2016-03-04	Repair queued
WHF_60 NFR_3206–0265.pdf	Supplementary Document	Uploaded 2016-03-04	Repair queued
FW White House Fellows Project.msg	Supplementary Document	Uploaded 2016-03-04	Repair queued
NOA (WHF 2015).pdf	Supplementary Document	Uploaded 2016-02-25	Repair queued
NOA (WHF 2014).pdf	Supplementary Document	Uploaded 2016-02-25	Repair queued
CEP_PIA_FINAL_03Aug12.pdf	Supplementary Document	Uploaded 2016-02-25	Repair queued
GOVT-5_SORN_Recruiting, Examining and Placement Records_19Jun06.pdf	Supplementary Document	Uploaded 2016-02-25	Repair queued
2016-2017 WHF Application Supporting Statement 7-22-15.doc	Supporting Statement A	Uploaded 2015-10-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218755	WHITE HOUSE FELLOWS APPLICATION	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 201510-3206-006
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: OPM	Agency Tracking No:
Title: WHITE HOUSE FELLOWS APPLICATION
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 12/06/2016
	Date Received in OIRA: 10/28/2015
Terms of Clearance: This collection has been withdrawn from OMB review at the request of the Agency.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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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.

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Authorizing Statute(s): None

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:
	80 FR 45686	07/31/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 59202	10/01/2015
Did the Agency receive public comments on this ICR? No

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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
WHITE HOUSE FELLOWS APPLICATION	001	White House Fellows Application

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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: New collection

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Annual Cost to Federal Government: $8,160

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: 10/28/2015

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