Information Collection

NARA Employment Interest Questionnaire

IC 253781 under ICR 202210-3095-001 · OMB 3095-0075.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

NARA Employment Interest Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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	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 %

table that charts list of burden
	Approved	Previously Approved
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

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.