Information Collection

NARA Employment Interest Questionnaire

IC 253781 under ICR 202607-3095-001 · OMB 3095-0075.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 3102 NARA Employment Interest Questionnaire 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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				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: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	300	-300	600
Annual IC Time Burden (Hours)	25	-25	50
Annual IC Cost Burden (Dollars)	0	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.

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