Information Collection

Recruitment Screener

IC 221822 under ICR 201606-0607-003 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Telephone Recruitm Recruitment Screener	Form and Instructi
Telephone Recruitm Telephone Recruitment Screener FY16_Recruitment_Screener_Telephone (updated 10-7) Spanish additions in red OMB submission version.docx	Form and Instruction
Internet Screener Internet Screener FY16_Recruitment_Screener_Internet_Participate (updated 10-7) Spanish additions in red OMB submission version.docx	Form and Instruction
OMB0607-0725_FY17_Recruitment_Screener.docx Memo regarding screener	IC Document

IC Title:

Recruitment Screener

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 131, 141, 161, 181, 182, 193, (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Telephone Recruitment Screener	Telephone Recruitment Screener	FY16_Recruitment_Screener_Telephone (updated 10-7) Spanish additions in red OMB submission version.docx		Yes	Yes	Paper Only
Form and Instruction	Internet Screener	Internet Screener	FY16_Recruitment_Screener_Internet_Participate (updated 10-7) Spanish additions in red OMB submission version.docx		Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo regarding screener	OMB0607-0725_FY17_Recruitment_Screener.docx	06/07/2016

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