OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge

ICR 200710-3206-001 · OMB 3206-0248 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form OPM 1655A Geographic Preference Statement for Senior Administrative Law Judge Applicant Form and Instruction New Available
Form OPM 1655 Application for Senior Administrative Law Judge Form and Instruction New Repair queued
Supp_Stat.DOC Supporting Statement A Uploaded 2007-10-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
182393 Geographic Preference Statement for Senior Administrative Law Judge Applicant Form and Instruction New
182362 Application for Senior Administrative Law Judge Form and Instruction New
ICR Details
3206-0248 200710-3206-001
Historical Active
OPM
Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/03/2007
Retrieve Notice of Action (NOA) 10/17/2007
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved
350 0 0
163 0 0
0 0 0
OPM 1655 and OPM 1655A will be used by retired Administrative Law Judges seeking reemployment to complete hearings in accordance with the Administrative Procedures Act of 1946. These forms will streamline the application process by providing all needed information on 2 forms.
US Code: 5 USC 3323(b) Name of Law: null
  
None
Not associated with rulemaking
  71 FR 151 08/07/2006
72 FR 186 09/26/2007
No
  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 350 0 0 350 0 0
Annual Time Burden (Hours) 163 0 0 163 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.
$59,219
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Mary Smith-Toomey 202 606-8358 [email protected]
  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.
10/17/2007