Occupational Questionnaire

OMB Control No: 3206-0040	ICR Reference No: 200908-3206-003
Status: Historical Inactive	Previous ICR Reference No: 200611-3206-006
Agency/Subagency: OPM	Agency Tracking No:
Title: Occupational Questionnaire
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 04/20/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/31/2009
Terms of Clearance: This collection is returned to the agency for further consideration based on an incomplete suppporting statement. It can be re-submitted to OMB without a new 60 day notice.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved	09/30/2010
Responses	54,202	0	54,202
Time Burden (Hours)	27,101	0	27,101
Cost Burden (Dollars)	0	0	0

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Abstract: The OPM Form 1203 FX serves as a collection of information from applicants in a format suitable for automated processing and creates applicant records in OPM's automated examining system. OPM is increasing the burden estimate due to a change in how OPM reports OPM Form 1203-FX completion. Previously, OPM reported totals only for the completion of the paper version of the form. OPM now includes completion of the electronic version of the form in its totals. Also there has been a substantial increase in the number of applicants for Federal positions, increasing the number of OPM Form 1203-FX submissions.

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Authorizing Statute(s): US Code: 5 USC 1104 Name of Law: null    US Code: 5 USC 1302 Name of Law: null    US Code: 5 USC 3301 Name of Law: null    US Code: 5 USC 3304 Name of Law: null

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 47981	09/18/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 67254	12/18/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Occupational Questionnaire OPM Form 1203-FX Occupational Questionnaire

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We are increasing the burden estimate due to a change in how OPM reports OPM Form 1203-FX completion. Previously, OPM reported totals only for the completion of the paper version of the form. OPM now includes completion of the electronic version of the form in its totals. Also there has been a substantial increase in the number of applicants for Federal positions, increasing the number of OPM Form 1203-FX submissions.

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Annual Cost to Federal Government: $468,280

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Denise Valentine-Tyson 2026065027 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 12/31/2009

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