Information Collection

USA Staffing

IC 250438 under ICR 202111-3206-003 · OMB 3206-0278.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USA Staffing USA Staffing	Form and Instruction
USA Staffing USAS 1 USAS Mock.docx	Form and Instruction
USA Staffing USAS 1 USAS Mock.docx	Form and Instruction

IC Title:

USA Staffing

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1304

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	USA Staffing	USAS 1	USAS Mock.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title: OPM/GOVT 5

FR Citation: 80 FR 42133

Number of Respondents: 568,874

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	568,874	568,874
Annual IC Time Burden (Hours)	238,927	238,927
Annual IC Cost Burden (Dollars)	6,467,244	6,467,244

Documents for IC

table that charts IC Documents
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.