INQUIRY CONCERNING APPLICANT FOR EMPLOYMENT

ICR 199312-2900-005

OMB: 2900-0117

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
147152 Migrated
ICR Details
2900-0117 199312-2900-005
Historical Active 199008-2900-021
VA
INQUIRY CONCERNING APPLICANT FOR EMPLOYMENT
Extension without change of a currently approved collection   No
Regular
Approved without change 03/08/1994
Retrieve Notice of Action (NOA) 12/06/1993
  Inventory as of this Action Requested Previously Approved
01/31/1997 01/31/1997 01/31/1994
12,500 0 12,500
3,125 0 3,125
0 0 0

VA FORM LETTER 5-127 IS USED BY PERSONNEL OFFICIALS TO GATHER INFORMATION REQUIRED IN ORDER TO DETERMINE AN APPLICANT'S FITNESS FOR DUTY. THIS INFORMATION IS OBTAINED FROM INDIVIDUALS WHO HAVE KNOWLEDGE OF THE APPLICANT'S PAST WORK RECORD, PERFORMANCE, AND CHARACTER.

None
None


No

1
IC Title Form No. Form Name
INQUIRY CONCERNING APPLICANT FOR EMPLOYMENT FL 5-127

  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 12,500 12,500 0 0 0 0
Annual Time Burden (Hours) 3,125 3,125 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/06/1993


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