United States Park Police Pre-Employment Suitability Determination Process

Forms and Documents

Document	Type	Status	Availability
Form Form 10-2201F Form 10-2201F, "Applicant Documentation Form"	Form and Instruction	Removed	Available
Form Form 10-2201E Form 10-2201E, "Physician Consent Form"	Form and Instruction	Removed	Repair queued
Form Form 10-2201D Form 10-2201D, "Physical Efficiency Battery "Waiver"	Form and Instruction	Modified	Repair queued
Form Form 10-2201C Form 10-2201C, "Lautenberg Certification"	Form and Instruction	Modified	Repair queued
Form Form 10-2201B Form 10-2201B, "Release to Obtain a Credit Report"	Form and Instruction	Modified	Repair queued
Form Form 10-2201A Form 10-2201A, "Information Release Form"	Form and Instruction	Modified	Repair queued
Form Form 10-2201 Form 10-2201, "Personal Qualifications Statement"	Form and Instruction	Modified	Repair queued
1024-0245 USPP_SSA 7-12-23.docx	Supporting Statement A	Uploaded 2023-07-12	Repair queued
1024-0245 USPP 30-day FRN 88 FR 63611 9-15-23.pdf	Supplementary Document	Uploaded 2023-09-19	Available
SORN OPM_GOVT-5 Recruiting, Examining, and Placement Records 79FR16834 03262014 2014-0659.pdf	Supplementary Document	Uploaded 2019-09-22	Available
Rehab Act and Processing Memo with NPS Comments 8-16-19.doc	Supplementary Document	Uploaded 2019-09-22	Repair queued
1024-0245 USPP 60-day FRN 87 FR 55847 9-12-22.pdf	Supplementary Document	Uploaded 2023-07-11	Available
5 CFR 5.2 Investigation and evaluations.pdf	Supplementary Document	Uploaded 2019-09-22	Available
Executive Order 10450.pdf	Supplementary Document	Uploaded 2019-09-22	Available
18 USC Section 922.pdf	Supplementary Document	Uploaded 2019-09-22	Repair queued
5 USC Section 3301.pdf	Supplementary Document	Uploaded 2019-09-22	Available
5 USC Section 1302 and 1304 (1).pdf	Supplementary Document	Uploaded 2019-09-22	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
222243	Form 10-2201F, "Applicant Documentation Form"	Form and Instruction	Removed
222239	Form 10-2201E, "Physician Consent Form"	Form and Instruction	Removed
222238	Form 10-2201D, "Physical Efficiency Battery "Waiver"	Form and Instruction	Modified
222237	Form 10-2201C, "Lautenberg Certification"	Form and Instruction	Modified
222234	Form 10-2201B, "Release to Obtain a Credit Report"	Form and Instruction	Modified
222230	Form 10-2201A, "Information Release Form"	Form and Instruction	Modified
11182	Form 10-2201, "Personal Qualifications Statement"	Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0245	ICR Reference No: 202307-1024-001
Status: Received in OIRA	Previous ICR Reference No: 201904-1024-001
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: United States Park Police Pre-Employment Suitability Determination Process
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/19/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2023
Responses	1,250	10,212
Time Burden (Hours)	1,897	13,317
Cost Burden (Dollars)	26,750	181,900

---

Abstract: As part of the application process for consideration as a candidate for United States Park Police Officer positions, we collect information from applicants during the Pre-employment Suitability Determination Phase of the application process to narrow the list of potential candidates who are qualified to move to the next phase of the application process. The USPP application process consists of 6 phases: (1) Application via USAJobs.com; (2) Pre-employment Suitability Determination; (3) written examination; (4) oral interview; (5) physical and psychological evaluations; and (6) physical fitness and agility tests. Background clearances are not initiated until the candidate has successfully passed all six (6) phases of the USPP application process.

---

Authorizing Statute(s): US Code: 5 USC Sections 1302 and 1304 Name of Law: Special Authority
   US Code: 18 USC Section 922 Name of Law: Unlawful Acts
   US Code: 5 USC Section 3301 Name of Law: Civil Service; generally
   EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employees
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 55847	09/12/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 63611	09/15/2023
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Form 10-2201, "Personal Qualifications Statement"	Form 10-2201	Personal Qualifications Statement
Form 10-2201A, "Information Release Form"	Form 10-2201A	Information Release Form
Form 10-2201B, "Release to Obtain a Credit Report"	Form 10-2201B	Release to Obtain a Credit Report
Form 10-2201C, "Lautenberg Certification"	Form 10-2201C	Lautenberg Certification
Form 10-2201D, "Physical Efficiency Battery "Waiver"	Form 10-2201D	Physical Efficiency Battery "Waiver"
Form 10-2201E, "Physician Consent Form"	Form 10-2201E	Physician Consent Form
Form 10-2201F, "Applicant Documentation Form"	Form 10-2201F	Applicant Documentation Form

---

ICR Summary 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	1,250	10,212	0	-1,712	-7,250	0
Annual Time Burden (Hours)	1,897	13,317	0	-284	-11,136	0
Annual Cost Burden (Dollars)	26,750	181,900	0	-17	-155,133	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: With this renewal, the program anticipates receiving fewer applications based on the number of applicants received since the last renewal in 2019. This estimate reflects an overall net decrease in the number of responses (n= -8,962), burden hours (n= -11,420), and the annual cost burden (n= -155,150) associated with this collection. The request to remove/discontinue the use of Forms 10-2201E Physician Consent Form and 10-2201F Applicant Documentation Form is indicated in SSA Item #2.

---

Annual Cost to Federal Government: $185,380

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

---

Common Form ICR:  No

---

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: 09/19/2023

---