Census Employment Inquiry

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BC-171 Census Employment Inquiry	Form and Instruction	Modified	Available
Census Employment Inquiry Statement Part B.pdf	Supporting Statement B	Uploaded 2018-06-25	Available
Census Employment Inquiry Statement Part A.docx	Supporting Statement A	Uploaded 2018-08-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3363	Census Employment Inquiry	Form and Instruction	Modified

ICR Details

OMB Control No: 0607-0139	ICR Reference No: 201806-0607-002
Status: Historical Active	Previous ICR Reference No: 201603-0607-006
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Census Employment Inquiry
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/22/2018
	Date Received in OIRA: 06/28/2018
Terms of Clearance: The functionality of the Census Bureau’s electronic collection application C-SHARPS shall allow an applicant to skip questions they do not wish to answer for the voluntary BC-171 form.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	36 Months From Approved	07/31/2019
Responses	1,000,000	0	70,000
Time Burden (Hours)	333,333	0	17,500
Cost Burden (Dollars)	0	0	0

---

Abstract: The Census Bureau currently uses the BC-170A (for current survey positions), BC-170B (for special census positions), and BC-170D (for decennial positions) forms to collect applicant information such as personal data and work experience. Selecting officials review the applicant information indicated on these forms to evaluate the eligibility and quality of an applicant for employment at the Census Bureau. In addition, the Census Bureau uses the Equal Employment Opportunity Commission (EEOC) common use form 3046-0046, Demographic Information on Applicants for Federal Employment, to collect voluntary applicant data. To address the issue of having multiple forms that asks the same questions for different census positions, the Census Bureau intends to consolidate the contents of the four forms into two forms, the BC-170, U.S. Census Employment Application and the BC-171, Additional Applicant Information forms. The current EEOC common use form 3046-0046, Demographic Information on Applicants for Federal Employment will be replaced by the BC-171. The BC-171 collects the same information as the EEOC common use form, including Race, Hispanic Origin, and Disability. In addition, the BC-171 contains the Education and Recruiting Sources questions needed to evaluate Census Bureau recruitment strategies. The Census Bureau also intends to have the Census Schedule A Recruitment, Assessment, and Payroll System (C-SHARPS) online applicant system as the main place for applicants to submit a job applications for all census positions. In limited circumstances (lack of internet, lack of computer, etc.), paper forms and an online PDF form will also be available for applicants to complete and submit to the Regional Office.

---

Authorizing Statute(s): US Code: 5 USC Part II, Chapter 13 Name of Law: null
   US Code: 5 USC Pt. III, Ch 33, Sub 1, 1 & 20 Name of Law: null
   US Code: 13 USC 23 a & c Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 15356	04/10/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 30400	06/28/2018
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Census Employment Inquiry	BC-170, BC-170(SP), BC-171(SP), BC-171	Additional Applicant Information ,   Census Jobs! ,   ¡Trabajos del Censo! ,   Información Adicional sobre el Solicitante

---

ICR Summary of Burden

table that charts list 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	1,000,000	70,000	0	930,000	0	0
Annual Time Burden (Hours)	333,333	17,500	0	315,833	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden is due to the hiring of field staff for the Census 2020 operations and because of consolidating three different employment forms into two forms.

---

Annual Cost to Federal Government: $170,000

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     Yes

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.     Yes

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

---

Common Form ICR:  No

---

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: 06/28/2018

---