Regulatory Collection Filing

DOI Use of Demographic Information on Applicants Form

RCF 201504-1091-001CF · Host ICR 201310-3046-002 · OMB 3046-0046

RCF Summary

Request for correction metadata
Host OMB Control No.	3046-0046
Host ICR Reference No.	201310-3046-002
Agency/Subagency	DOI/OEO
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2015-04-16
Conclusion Date	2015-04-23
Related Links	OMB 3046-0046 · ICR 201310-3046-002 · Retrieve Notice of Action (NOA)

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Title: DOI Use of Demographic Information on Applicants Form

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Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/23/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/16/2015
Terms of Clearance:

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Description of Agency Usage: DOI use of this common form.

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Authorizing Statute(s): None

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Annual Cost to Federal Government: $66,501
Agency Contact: David Alspach 202 219-8526 [email protected]

Common Form Information Collections (IC) in this RCF:

table that charts list of ICs
IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Applicant Background Questionnaire		366,680	18,334	0	Other
Applicant Background Questionnaire		366,680	18,334	0	Form	3046-0046	Demographic Information on Applicants

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	366,680	366,680
Annual Time Burden (Hours)	18,334	18,334
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: DOI use of Common Form