Regulatory Collection Filing

DOI Use of Demographic Information on Applicants Form

RCF 201705-1091-002CF · Host ICR 201702-3046-002 · OMB 3046-0046

RCF Summary

Host OMB Control No.	3046-0046
Host ICR Reference No.	201702-3046-002
Agency/Subagency	DOI/OEO
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2017-05-30
Conclusion Date	2017-05-30
Related Links	OMB 3046-0046 · ICR 201702-3046-002 · Previous RCF 201504-1091-001CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: DOI Use of Demographic Information on Applicants Form

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 05/30/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/30/2017
Terms of Clearance:

Description of Agency Usage: DOI use of this common form.

Authorizing Statute(s): None

Annual Cost to Federal Government: $66,501
Agency Contact: David Alspach 202 219-8526 [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		366,680	18,334	0	Other
Applicant Background Questionnaire		366,680	18,334	0	Form	3046-0046	Demographic Information on Applicants

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	366,680	366,680
Annual Time Burden (Hours)	18,334	18,334
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: