Application for Senior Administrative Law Judge

Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge

Documents and Forms

Document Name Document Type
Form OPM Form 1655 Application for Senior Administrative Law Judge Form and Instruction
OPM Form 1655 Application for Senior Administrative Law Judge 3 - OPM Form 1655 (2027).pdf Form and Instruction
OPM Form 1655 Application for Senior Administrative Law Judge 3 - OPM Form 1655 (2027).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Senior Administrative Law Judge	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 930.201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM Form 1655	Application for Senior Administrative Law Judge	3 - OPM Form 1655 (2027).pdf	opm.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM Central 6	FR Citation: 60 FR 63084

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	0	150
Annual IC Time Burden (Hours)	113	19	94
Annual IC Cost Burden (Dollars)	6,488	1,877	4,611

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.