1. VERIF. OF DECLINATION OR FAILURE TO REPLY AND NOTICE OF SUSPENSION OF CONSIDERATION OF EMPLOYMENT, APPLICANT IDENTIFICATION FORM - SUPPLEM QUALIFICATIONS STATEMENT

ICR 198501-3068-001

OMB: 3068-0012

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3068-0012 198501-3068-001
Historical Active 198302-3068-001
FHLBB
1. VERIF. OF DECLINATION OR FAILURE TO REPLY AND NOTICE OF SUSPENSION OF CONSIDERATION OF EMPLOYMENT, APPLICANT IDENTIFICATION FORM - SUPPLEM QUALIFICATIONS STATEMENT
Revision of a currently approved collection   No
Regular
Approved without change 02/28/1985
Retrieve Notice of Action (NOA) 01/08/1985
This request is approved and OMB number 3068-0013 is incorporated into this clearance number, 3068-0012.
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988 02/28/1985
1,050 0 1,000
2,263 0 250
0 0 0

THREE FORMS ARE SUBMITTED TOGETHER AS THEY ARE ALL USED IN ORDER TO CARRY OUT THE FUNCTIONS OF THE SAVINGS & LOAN EXAMINING UNIT. THE APPLICANT IDENTIFICATION FORM 1233 & THE SUPPLEM. QUALIFICATIONS STATE FORM 1234 ARE USED TO RATE AND EVALUATE APPLICANT'S QUALIF. FOR THE POSITION OF S&L EXAMINER. INFO. FROM FORM 1233 IS USED TO CODE APPLICANTS INTO THE COMPETITOR INVENTORY. VERIFICACTION OF DECLINATION OR FAILURE TO REPLY FORM IS USED TO VERIFY WHETHER APPLIC. ARE STILL

None
None


No

  Total Approved 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 1,050 1,000 0 0 50 0
Annual Time Burden (Hours) 2,263 250 0 13 2,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
01/08/1985


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