NARA Employment Interest Questionnaire

Schedule A and Veterans Recruitment Initiative Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0075 can be found here:

Documents and Forms

Document Name Document Type
Form NA Form 3102 NARA Employment Interest Questionnaire Form and Instruction
NA Form 3102 NARA Employment Interest Questionnaire na-3102_02_22_NARA_Employment_Interest_Questionnaire.pdf Form and Instruction
NA Form 3102 NARA Employment Interest Questionnaire na-3102_02_22_NARA_Employment_Interest_Questionnaire.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	NARA Employment Interest Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA Form 3102	NARA Employment Interest Questionnaire	na-3102_02_22_NARA_Employment_Interest_Questionnaire.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title: GOVT 5, Recruiting, Examining, and Placement Records	FR Citation: 86 FR 68291

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.