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Federal forms, ICRs, and supporting documents

Information Collection Request

NRC Form 212A, Qualifications Investigations Secretarial/ Clerical

ICR 200107-3150-003 · OMB 3150-0034 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
33257 NRC Form 212A, Qualifications Investigations Secretarial/ Clerical Form Migrated
ICR Details
3150-0034 200107-3150-003
Historical Active 199806-3150-003
NRC
NRC Form 212A, Qualifications Investigations Secretarial/ Clerical
Extension without change of a currently approved collection   No
Regular
Approved without change 09/26/2001
Retrieve Notice of Action (NOA) 07/19/2001
  Inventory as of this Action Requested Previously Approved
09/30/2004 09/30/2004 09/30/2001
300 0 300
75 0 75
11,000 0 0
Information requested on NRC Form 212 is used to determine the qualifications and suitability of external applicants for employment in secretarial or clerical positions with the NRC. The completed form may be used to examine, rate and/or assess the prospective employee's qualifications. The information regarding the qualifications of applicants for employments is reviewed by professional personnel of the Office of Human Resources, in conjunction with other information in the NRC files to determine the qualifications of the applicant for appointment to the position under consideration.
None
None
No
1
IC Title Form No. Form Name
NRC Form 212A, Qualifications Investigations Secretarial/ Clerical 212A
  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 300 300 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 0
Annual Cost Burden (Dollars) 11,000 0 0 0 11,000 0
No
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.
07/19/2001