Employment Application

Forms and Documents

Document Name	Status
OMB Supporting Statement - 11-17-2016.docx Supporting Statement A	2016-11-17
2016-27653 30-day Federal Register notice.pdf Supplementary Document	2016-11-17
section 3 TVA Act.pdf Supplementary Document	2016-09-28
2015 SORN for TVA-13.pdf Supplementary Document	2016-09-28
2016-21370 60-day Federal Register notice.pdf Supplementary Document	2016-09-28
Privacy Act Statement.pdf Supplementary Document	2010-08-04
Burden Estimate Statement.pdf Supplementary Document	2010-08-04

IC Document Collections

IC ID	Document Title	Status
35863	Employment Application Other-Online application	Modified

ICR Details

OMB Control No: 3316-0063	ICR Reference No: 201609-3316-001
Status: Historical Active	Previous ICR Reference No: 201309-3316-001
Agency/Subagency: TVA	Agency Tracking No:
Title: Employment Application
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: 01/17/2017
	Date Received in OIRA: 11/17/2016
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	01/31/2017
Responses	50,102	0	63,984
Time Burden (Hours)	45,913	0	61,536
Cost Burden (Dollars)	1,117,275	0	1,215,696

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Abstract: Applications for employment are needed to collect qualifications, determine suitability & veterans preference, & to make comparative appraisals & assist in selections. Affected public consists of individuals who voluntary apply for employment.

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Authorizing Statute(s): Statute at Large: 86 Stat. 206 Name of Statute: TVA Act of 1933 Section 3
   Statute at Large: 48 Stat. 59 Name of Statute: TVA Act of 1933 Section 3
  

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:
	81 FR 61730	09/07/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 81228	11/17/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Employment Application	TVA-9871 (2016 version), TVA-17900 (2016 version), TVA-17900, TVA-3595, TVA-3595 (2016 version), TVA-13045A, TVA-13045A (2016 version), TVA-9871	Request for Extension Veteran's Preference Documents ,   Request for Extension Veteran's Preference Documents ,   Veteran Status Information ,   Veteran Status Information ,   Personnel Security Questionnaire (Short Form) ,   Personnel Security Questionnaire (Short Form) ,   Data on Convictions ,   Data on Convictions

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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	50,102	63,984	0	0	-13,882	0
Annual Time Burden (Hours)	45,913	61,536	0	0	-15,623	0
Annual Cost Burden (Dollars)	1,117,275	1,215,696	0	0	-98,421	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: Estimates of number of respondents are derived from FY2014-2016 data. Overall there is a decrease from the previous approval period.

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Annual Cost to Federal Government: $40,625

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: 11/17/2016

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