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Federal forms, ICRs, and supporting documents

Information Collection Request

Certification of Compliance with Mandatory Bars to Employment

ICR 199602-3064-002 · OMB 3064-0121 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
31911 Certification of Compliance with Mandatory Bars to Employment Migrated
ICR Details
3064-0121 199602-3064-002
Historical Active
FDIC
Certification of Compliance with Mandatory Bars to Employment
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/26/1996
Retrieve Notice of Action (NOA) 02/09/1996
Your request to omit printing the expiration date is approved.
  Inventory as of this Action Requested Previously Approved
03/31/1999 03/31/1999
200 0 0
67 0 0
0 0 0
Prior to an offer of employment, job applicants to the FDIC must sign a certification that they have not been convicted of a felony or been in other circumstances that prohibit persons from becoming employed by or providing services to the FDIC.
None
None
No
1
IC Title Form No. Form Name
Certification of Compliance with Mandatory Bars to Employment
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 0 0 200 0 0
Annual Time Burden (Hours) 67 0 0 67 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/09/1996