Application for 10-Point Veteran Preference

Forms and Documents

Document Name	Status
Form SF 15 Application for 10-Point Veteran Preference Form and Instruction	Modified
3206-0001 60 day 55421.pdf Supplementary Document	2018-11-28
30 Day Notice 3206-0001.pdf Supplementary Document	2018-11-28
Supporting_Statement__SF-15_04-05-19rev.doc Supporting Statement A	2019-04-05

IC Document Collections

IC ID	Document Title	Status
33532	Application for 10-Point Veteran Preference Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0001	ICR Reference No: 201811-3206-003
Status: Active	Previous ICR Reference No: 201310-3206-003
Agency/Subagency: OPM	Agency Tracking No:
Title: Application for 10-Point Veteran Preference
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/10/2019
	Date Received in OIRA: 11/29/2018
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency. OPM must report this collection in its Information Collection Budget submission to OMB.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved
Responses	18,418	0	0
Time Burden (Hours)	6,139	0	0
Cost Burden (Dollars)	197,994	0	0

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Abstract: Veterans’ preference is established by the Veterans Preference Act of 1944, as amended, and is now codified in various provisions of title 5, United States Code (U.S.C.). By law, veterans who are disabled or who served on active duty in the Armed Forces during certain specific time periods or in military campaigns are entitled to preference over others in hiring from competitive lists of eligibles. Specifically, 5 U.S.C. 2108 and 3309 identify those persons eligible for 10-point veterans’ preference. Consequently, a veteran must be informed of his or her rights and provided with a procedure for securing these rights.

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Authorizing Statute(s): US Code: 5 USC 2108 Name of Law: Veterans Preference Act of 1944
   US Code: 5 USC 3309 Name of Law: Veterans Preference Act of 1944
  

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 55421	11/21/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 61175	11/28/2018
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
Application for 10-Point Veteran Preference	SF 15, SF 15, SF 15	Application for 10-Point Veteran Preference ,   Application for 10 point Vet page 1 ,   Application for 10 point Vet page 2

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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	18,418	0	0	-3,882	0	22,300
Annual Time Burden (Hours)	6,139	0	0	2,422	0	3,717
Annual Cost Burden (Dollars)	197,994	0	0	197,994	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: Since OPM began providing the SF 15 in an easily accessible online version, both fillable and printable, agencies have hired greater numbers of disabled veterans into the Federal Government. Most applicants applying for 10-point veterans’ preference maintain electronic copies of these documents along with the SF 15 in their USAJOBS accounts and submit these documents electronically to hiring agencies when applying for Federal jobs.

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Annual Cost to Federal Government: $247,453

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: 11/29/2018

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