Inquiry Concerning Application for Employment

ICR 200104-2900-002

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
28321 Migrated
ICR Details
2900-0117 200104-2900-002
Historical Active 199312-2900-005
VA
Inquiry Concerning Application for Employment
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 07/02/2001
Retrieve Notice of Action (NOA) 04/19/2001
Approved consistent with changes in VA memo of 6-26-01 and revised form and justification attached. In its next submission, VA will discuss efforts to bring this collection into compliance with the Government Paperwork Elimination Act by allowing electronic submission. This collection previously expired in Jan. 1997. VA shall ensure that such violations of the Paperwork Reduction Act do not occur in the future.
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004
12,500 0 0
3,125 0 0
0 0 0

The information obtained through use of VA Form Letter 5-127 is used by appointing officials in determining an applicant's suitability and qualifications for employment.

None
None


No

1
IC Title Form No. Form Name
Inquiry Concerning Application for Employment VAFL-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 0 0 12,500 0 0
Annual Time Burden (Hours) 3,125 0 0 3,125 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.
04/19/2001


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