Regulatory Collection Filing

Applicant Background Questionnaire

RCF 201705-1225-015CF · 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	DOL/DM
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 201403-1225-005CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Applicant Background Questionnaire

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: 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
Annual Number of Responses	180,000	180,000
Annual Time Burden (Hours)	9,000	9,000
Annual Cost Burden (Dollars)	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: