OMB control number
USM-164 Applicant Appraisal Questionnaire
OMB 1105-0106 · DOJ/LA.
OMB 1105-0106
This form will primarily be used to collect applicant reference information. Reference checking is an objective evaluation of an applicant’s past job performance based on information collected from key individuals (e.g. supervisors, peers, subordinates) who have known and worked with the applicant. Reference checking is a necessary supplement to the evaluation of resumes and other descriptions of training and experience, and allows the selecting official to hire applicants with a strong history of performance. The questions on this form have been developed following the OPM, MSPB, and DOJ “Best Practice” guidelines for reference checking.
The latest form for USM-164 Applicant Appraisal Questionnaire expires 2021-10-31 and is listed under ICR 201707-1105-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
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| Form and Instruction | |
| Supporting Statement A | |
| Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202107-1105-001 | Extension without change of a currently approved collection | 2021-10-29 | Approved without change | |
| 201707-1105-001 | New collection (Request for a new OMB Control Number) | 2018-08-07 | Approved without change |