Regulatory Collection Filing

Applicant Background Questionnaire

RCF 202309-3041-001CF · Host ICR 202307-3046-001 · OMB 3046-0046

RCF Summary

Request for correction metadata
Host OMB Control No.	3046-0046
Host ICR Reference No.	202307-3046-001
Agency/Subagency	CPSC
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2023-09-05
Conclusion Date	2023-09-05
Related Links	OMB 3046-0046 · ICR 202307-3046-001 · Previous RCF 202009-3041-001CF · Retrieve Notice of Action (NOA)

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Title: Applicant Background Questionnaire

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Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 09/05/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/05/2023
Terms of Clearance:

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Description of Agency Usage: Clearance for demographic data used on job applications for USAJOBs.

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Authorizing Statute(s): None

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Annual Cost to Federal Government:
Agency Contact: Cynthia Gillham 301 504-7701 [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		7,500	375	0	Other
Applicant Background Questionnaire		7,500	375	0	Form	3046-0046	Demographic Information on Applicants

RCF Summary of Burden:

table that charts list of burden
	Total Approved	Previously Approved
Annual Number of Responses	7,500	7,500
Annual Time Burden (Hours)	375	375
Annual Cost Burden (Dollars)	0	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: No

Burden Reduction Due to:

Short Statement: