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