Regulatory Collection Filing

Applicant Background Questionnaire

RCF 201403-1225-005CF · Host ICR 201310-3046-002 · OMB 3046-0046

RCF Summary

Host OMB Control No.	3046-0046
Host ICR Reference No.	201310-3046-002
Agency/Subagency	DOL/DM
Status	Historical Active
Type of RCF	RCF No material or nonsubstantive change to a currently approved collection
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2014-03-27
Conclusion Date	2014-04-02
Related Links	OMB 3046-0046 · ICR 201310-3046-002 · Previous RCF 201403-1225-004CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Applicant Background Questionnaire

Type of RCF: RCF No material or nonsubstantive change to a currently approved collection
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/02/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/27/2014
Terms of Clearance:

Description of Agency Usage: The U.S. Department of Labor uses the Demographic Information on Applicants form to evaluate Departmental employment practices by collecting and analyzing data on the race, national origin, sex and disability status of applicants for employment.

Authorizing Statute(s): None

Annual Cost to Federal Government: $1,137
Agency Contact: Michel Smyth 202 693-0638 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Applicant Background Questionnaire		180,000	9,000	0	Other
Applicant Background Questionnaire		180,000	9,000	0	Form	3046-0046	Demographic Information on Applicants

RCF Summary of Burden:

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	180,000	20,500	159,500
Annual Time Burden (Hours)	9,000	1,025	7,975
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The DOL has located data allowing for updated burden information.