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Federal forms, ICRs, and supporting documents

Information Collection Request

Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment

ICR 202012-1545-004 · OMB 1545-1921 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 12114 Form 12114 - Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment Form Unchanged Repair queued
Supporting Statement 1545-1921.docx Supporting Statement A Uploaded 2021-03-24 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
19623 Form 12114 - Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment Form Unchanged
ICR Details
1545-1921 202012-1545-004
Received in OIRA 201711-1545-003
TREAS/IRS
Continuation Sheet for Item # 15 (Additional Information) OF-306, Declaration for Federal Employment
Extension without change of a currently approved collection   No
Regular 03/30/2021
  Requested Previously Approved
36 Months From Approved 03/31/2021
24,813 24,813
6,203 6,203
0 0
Form 12114 will be completed by applicants, if necessary, when applying for consideration for Federal Employment. Form 12114 is used as a continuation sheet to clearly define additional information that is requested in item 15 of the OF-306. Due to lack of space on the OF-306 this form can be used in lieu of an additional sheet of paper. The form will be used by the Personnel Offices to review the applicants’ background information when making suitability determinations. The authority to request this information is in 5 USC 3301 and 3304.
US Code: 5 USC 3301 Name of Law: Civil Service; Generally
   US Code: 5 USC 3304 Name of Law: Competative Service; Examinations
  
None
Not associated with rulemaking
  85 FR 62014 10/01/2020
86 FR 16657 03/30/2021
No
  Total Request 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 24,813 24,813 0 0 0 0
Annual Time Burden (Hours) 6,203 6,203 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$2,950
No
    Yes
    Yes
No
No
No
No
Heather Tambini 240 613-6927
  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.
03/30/2021