Information Collection

Form USM-164 - USMS Applicant Appraisal Questionnaire

IC 231921 under ICR 201707-1105-001 · OMB 1105-0106.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0106 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form USM-164 Form USM-164 - USMS Applicant Appraisal Questionnaire	Form and Instruction
Form USM-164 USMS Applicant Appraisal Questionnaire usm164.pdf	Form and Instruction

IC Title:

Form USM-164 - USMS Applicant Appraisal Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	Form USM-164	USMS Applicant Appraisal Questionnaire	usm164.pdf		No		Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: OPM/Gov-1, General Personnel Records

FR Citation: 76 FR 32997

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	20,745	20,745

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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