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Federal forms, ICRs, and supporting documents

Information Collection Request

VA Policy Officer Pre-Employment Screening Checklist -- VA Form 0120

ICR 199705-2900-001 · OMB 2900-0524 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28710 VA Policy Officer Pre-Employment Screening Checklist -- VA Form 0120 Form Migrated
ICR Details
2900-0524 199705-2900-001
Historical Active 199102-2900-014
VA
VA Policy Officer Pre-Employment Screening Checklist -- VA Form 0120
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 07/14/1997
Retrieve Notice of Action (NOA) 05/13/1997
  Inventory as of this Action Requested Previously Approved
07/31/2000 07/31/2000
1,800 0 0
300 0 0
0 0 0
The VA Police Officer Pre-Employment Screening Checklist is used as a means of recording the established pre-employment screening process for VA law enforcement personnel. The public is affected in that it is contacted by VA to verify claimed work history and to obtain prior employer critique of applicant.
None
None
No
1
IC Title Form No. Form Name
VA Policy Officer Pre-Employment Screening Checklist -- VA Form 0120 0120
  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 1,800 0 0 1,800 0 0
Annual Time Burden (Hours) 300 0 0 300 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.
05/13/1997