OSC SURVEY: Prohibited Personnel Practice (PPP), Whistleblower Disclosure (DU), Hatch Act Advisory Opinion (HA), USERRA

Forms and Documents

Document Name	Status
Survey Notice.pdf Supplementary Document	2017-03-21
USERRA Survey Questions Screenshots.pdf Supplementary Document	2017-04-06
PPP Survey Questions Screenshots.pdf Supplementary Document	2017-04-06
DU Survey Questions Screenshots.pdf Supplementary Document	2017-04-06
Hatch Act Survey Questions Screenshots.pdf Supplementary Document	2017-04-06
OSC Survey Supporting Statement B_12-1-17.docx Supporting Statement B	2017-12-01
OSC Survey Supporting Statement_12-1-17.docx Supporting Statement A	2017-12-01

IC Document Collections

IC ID	Document Title	Status
204502	OSC Customer Service Survey Other-Survey Samples	Modified

ICR Details

OMB Control No: 3255-0003	ICR Reference No: 201710-3255-001
Status: Historical Inactive	Previous ICR Reference No: 201610-3255-001
Agency/Subagency: OSC	Agency Tracking No:
Title: OSC SURVEY: Prohibited Personnel Practice (PPP), Whistleblower Disclosure (DU), Hatch Act Advisory Opinion (HA), USERRA
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 02/14/2018
	Date Received in OIRA: 12/01/2017
Terms of Clearance:

	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: This electronic form is used to meet the statutory requirement for OSC to conduct an annual survey to determine apprisal of rights, success at OSC or MSPB, and satisfaction with treatment at OSC. We are requesting an emergency approval of this previously approved form. We have not made any changes to this collection since the last approval in 2015.

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Authorizing Statute(s): US Code: 5 USC 1212 Name of Law: Annual Survey of Individuals Seeking Assistance.
  

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:
	82 FR 17698	04/12/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 17698	04/12/2017
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
OSC Customer Service Survey

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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:

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Annual Cost to Federal Government: $9,562

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 12/01/2017

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