United States Park Police Pre-Employment Suitability Determination Process

Forms and Documents

Document Name	Status
Form Form 10-2201F Form 10-2201F, "Applicant Documentation Form" Form and Instruction	Modified
Form Form 10-2201E Form 10-2201E, "Physician Consent Form" Form and Instruction	Modified
Form Form 10-2201D Form 10-2201D, "Physical Efficiency Battery "Waiver" Form and Instruction	Modified
Form Form 10-2201C Form 10-2201C, "Lautenberg Certification" Form and Instruction	Modified
Form Form 10-2201B Form 10-2201B, "Release to Obtain a Credit Report" Form and Instruction	Modified
Form Form 10-2201A Form 10-2201A, "Information Release Form" Form and Instruction	Modified
Form Form 10-2201 Form 10-2201, "Personal Qualifications Statement" Form and Instruction	Modified
1024-0245 Justification for No Material-Nonsubstantive Change 07052018.docx Justification for No Material/Nonsubstantive Change	2018-07-05
1024-0245 USPP Pre-Employment Suitability Determination Process PIA - Final.pdf Supplementary Document	2018-07-05
SORN OPM_GOVT-5 Recruiting, Examining, and Placement Records 79FR16834 03262014 2014-06593.pdf Supplementary Document	2018-07-05
Rehab Act and Processing Memo with NPS Comments 8-16-17.doc Supplementary Document	2017-09-25
1024-0245 30-day FRN Final Published 11102016 81218 79047.pdf Supplementary Document	2016-11-15
1024-0245 SSA USPP Pre-Employment Suitabiilty updated 07052018.docx Supporting Statement A	2018-07-05
1024-0245 USPP Revision 60-day FRN published 05292015 2015-13039 80103 30721.pdf Supplementary Document	2016-06-28
5 CFR 5.2 Investigation and evaluations.pdf Supplementary Document	2016-06-28
Executive Order 10450.pdf Supplementary Document	2016-06-28
18 USC Section 922.pdf Supplementary Document	2016-06-28
5 USC Section 3301.pdf Supplementary Document	2016-06-28
5 USC Section 1302 and 1304.pdf Supplementary Document	2016-06-28

IC Document Collections

IC ID	Document Title	Status
222243	Form 10-2201F, "Applicant Documentation Form" Form and Instruction	Modified
222239	Form 10-2201E, "Physician Consent Form" Form and Instruction	Modified
222238	Form 10-2201D, "Physical Efficiency Battery "Waiver" Form and Instruction	Modified
222237	Form 10-2201C, "Lautenberg Certification" Form and Instruction	Modified
222234	Form 10-2201B, "Release to Obtain a Credit Report" Form and Instruction	Modified
222230	Form 10-2201A, "Information Release Form" Form and Instruction	Modified
11182	Form 10-2201, "Personal Qualifications Statement" Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0245	ICR Reference No: 201807-1024-001
Status: Historical Active	Previous ICR Reference No: 201606-1024-003
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: United States Park Police Pre-Employment Suitability Determination Process
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2018
	Date Received in OIRA: 07/05/2018
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	09/30/2018	09/30/2018	09/30/2018
Responses	15,015	0	15,015
Time Burden (Hours)	19,793	0	19,793
Cost Burden (Dollars)	238,752	0	238,752

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Abstract: As part of the application process for consideration as a candidate for United States Park Police Officer positions, we collect information from applicants during the Pre-employment Suitability Determination Phase of the application process to narrow the list of potential candidates who are qualified to move to the next phase of the application process. The USPP application process consists of 6 phases: (1) Application via USAJobs.com; (2) Pre-employment Suitability Determination; (3) written examination; (4) oral interview; (5) physical and psychological evaluations; and (6) physical fitness and agility tests. Background clearances are not initiated until the candidate has successfully passed all six (6) phases of the USPP application process.

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Authorizing Statute(s): US Code: 5 USC Sections 1302 and 1304 Name of Law: Special Authority
   US Code: 5 USC Section 3301 Name of Law: Civil Service; generally
   US Code: 18 USC Section 922 Name of Law: Unlawful Acts
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employees
  

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:
	80 FR 30721	05/29/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 79047	11/10/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Form 10-2201B, "Release to Obtain a Credit Report"	Form 10-2201B	Release to Obtain a Credit Report
Form 10-2201A, "Information Release Form"	Form 10-2201A	Information Release Form
Form 10-2201C, "Lautenberg Certification"	Form 10-2201C	Lautenberg Certification
Form 10-2201D, "Physical Efficiency Battery "Waiver"	Form 10-2201D	Physical Efficiency Battery "Waiver"
Form 10-2201E, "Physician Consent Form"	Form 10-2201E	Physician Consent Form
Form 10-2201F, "Applicant Documentation Form"	Form 10-2201F	Applicant Documentation Form
Form 10-2201, "Personal Qualifications Statement"	Form 10-2201	Personal Qualifications Statement

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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	15,015	15,015	0	0	0	0
Annual Time Burden (Hours)	19,793	19,793	0	0	0	0
Annual Cost Burden (Dollars)	238,752	238,752	0	0	0	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:

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Annual Cost to Federal Government: $82,459

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

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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: 07/05/2018

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