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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.