Information Collection

Certification of Qualifying District of Columbia Service Under Section 1905 of Public Law 111-84

IC 218495 under ICR 201510-3206-005 · OMB 3206-0268.

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Information Collection (IC) Details

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IC Title:	Certification of Qualifying District of Columbia Service Under Section 1905 of Public Law 111-84	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title: OPM/ Central-1	FR Citation: 73 FR 1503

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.