Application for Employment as a Locally Employed Staff or Family Member

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-174 Application for Employment as a Locally Employed Staff or Family Member	Form and Instruction	Unchanged	Repair queued
LegalAuthorities_2022.docx	Supplementary Document	Uploaded 2022-02-11	Repair queued
Supporting-Statement_1405-0189.docx	Supporting Statement A	Uploaded 2022-02-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190750	Application for Employment as a Locally Employed Staff or Family Member	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1405-0189	ICR Reference No: 202202-1405-001
Status: Received in OIRA	Previous ICR Reference No: 201905-1405-008
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Application for Employment as a Locally Employed Staff or Family Member
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/11/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2022
Responses	1,000,000	1,000,000
Time Burden (Hours)	750,000	750,000
Cost Burden (Dollars)	0	0

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Abstract: The information solicited is used to establish eligibility and qualifications at U.S. Embassies, Consulates, and Missions abroad. The respondents are locals who live in the 175 countries abroad and who are applying for a position at the U.S. Embassy, Consulate or Mission in their country. In addition, Family members who are accompanying their partners to assignments in the U.S. Embassies, Consulates or Mission abroad.

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Authorizing Statute(s): PL: Pub.L. 96 - 465 103,105.206,301,303,311,408 Name of Law: Foreign Service Act of 1980
   US Code: 22 USC 2669(c) Name of Law: Foreign Relations and Intercourse
  

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:
	86 FR 47702	08/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 8080	02/11/2022
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for Employment as a Locally Employed Staff or Family Member	DS-174	Application for Employment as a Locally Employed Staff or Family Member

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	1,000,000	0	0	0	0
Annual Time Burden (Hours)	750,000	750,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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: $2,096,480

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? No

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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: 02/11/2022

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