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 202409-3206-001 · OMB 3206-0248 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form OPM 1655-A Geographic Preference Statement for Senior Administrative Law Judge Applicant Form and Instruction Modified Repair queued
Form OPM Form 1655 Application for Senior Administrative Law Judge Form and Instruction Modified Missing upstream
Supporting Statement A_3206-0248.docx Supporting Statement A Uploaded 2024-09-16 Available
6 - Legal Citation(s).pdf Supplementary Document Uploaded 2021-06-16 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
182393 Geographic Preference Statement for Senior Administrative Law Judge Applicant Form and Instruction Modified
182362 Application for Senior Administrative Law Judge Form and Instruction Modified
ICR Details
3206-0248 202409-3206-001
Received in OIRA 202106-3206-001
OPM
Application for Senior Administrative Law Judge & Geographic Preference Statement for Senior Administrative Law Judge
Revision of a currently approved collection   No
Regular 09/17/2024
  Requested Previously Approved
36 Months From Approved 10/31/2024
350 350
196 161
11,332 7,899
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 streamline the application process by providing all needed information on 2 forms. The forms have changed to only to include updated regional selections.
US Code: 5 USC 3323(b)
  
None
Not associated with rulemaking
  88 FR 65759 09/25/2023
89 FR 63453 08/05/2024
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 350 350 0 0 0 0
Annual Time Burden (Hours) 196 161 0 35 0 0
Annual Cost Burden (Dollars) 11,332 7,899 0 3,433 0 0
Yes
Miscellaneous Actions
No
Updated numbers due to fluctuation in earnings, inflation, etc.
$14,006
No
    Yes
    Yes
No
No
No
No
Alexys Stanley 202 606-1183 [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.
09/17/2024