DRUG-FREE WORKPLACE

ICR 198901-9000-001

OMB: 9000-0101

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
162114
Migrated
ICR Details
9000-0101 198901-9000-001
Historical Active
FAR
DRUG-FREE WORKPLACE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/24/1989
Retrieve Notice of Action (NOA) 01/23/1989
  Inventory as of this Action Requested Previously Approved
01/31/1990 01/31/1990
20 0 0
5 0 0
0 0 0

THE SUBJECT CONTRACT CLAUSE AT 52.223-6 REQUIRES (1) CONTRACT EMPLOYEES TO NOTIFY THEIR EMPLOYER OF ANY CRIMINAL DRUG STATUTE CONVICTION FOR A VIOLATION OCCURING INT HE WORKPLACE, AND (2) GOVERNMENT CONTRACTORS, AFTER RECEIVING NOTICE OF SUCH CONVICTION, TO NOTIFY THE CONTRACTING OFFICER.

None
None


No

1
IC Title Form No. Form Name
DRUG-FREE WORKPLACE

  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 20 0 0 20 0 0
Annual Time Burden (Hours) 5 0 0 5 0 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.
01/23/1989


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