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Federal forms, ICRs, and supporting documents

Information Collection Request

NRC Form 212A, Qualifications Investigation, Secretarial/Clerical

ICR 201011-3150-002 · OMB 3150-0034 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form NRC Form 212A NRC Form 212A, Qualifications Investigation, Secretarial/Clerical Form Modified Repair queued
Final Form 212A SS 110110.docx Supporting Statement A Uploaded 2010-11-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
33258 NRC Form 212A, Qualifications Investigation, Secretarial/Clerical Form Modified
ICR Details
3150-0034 201011-3150-002
Historical Active 200707-3150-002
NRC
NRC Form 212A, Qualifications Investigation, Secretarial/Clerical
Revision of a currently approved collection   No
Regular
Approved without change 03/22/2011
Retrieve Notice of Action (NOA) 11/05/2010
In accordance with 5 CFR 1320, the information collection is approved for 3 years.
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved 03/31/2011
400 0 400
100 0 100
0 0 0
Information requested on NRC Form 212A, “Qualifications Investigation, Secretarial/Clerical” is used to determine the qualifications and suitability of external applicants for employment with NRC. The completed forms may be used to examine, rate and/or assess the prospective employee’s qualifications. The information regarding the qualifications of applicants for employment 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.
PL: Pub.L. 83 - 703 1-311 Name of Law: Atomic Energy Act of 1954
  
None
Not associated with rulemaking
  75 FR 17167 04/05/2010
75 FR 66394 10/28/2010
No
1
IC Title Form No. Form Name
NRC Form 212A, Qualifications Investigation, Secretarial/Clerical NRC Form 212A Qualifications Investigation, Secretarial/Clerical
  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 400 400 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$25,700
No
No
No
No
No
Uncollected
James Horn 3014922210
  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.
11/05/2010