Inquiry Concerning Application for Employment

ICR 200706-2900-021

OMB: 2900-0117

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2007-07-02
IC Document Collections
IC ID
Document
Title
Status
28322 Modified
ICR Details
2900-0117 200706-2900-021
Historical Active 200406-2900-006
VA 2900-0117
Inquiry Concerning Application for Employment
Extension without change of a currently approved collection   No
Regular
Approved without change 08/10/2007
Retrieve Notice of Action (NOA) 07/02/2007
Approved consistent with the following terms of clearance: in the next submission of this request to OMB for review VA will report on measures to provide a completely electronic version of the form to respondents.
  Inventory as of this Action Requested Previously Approved
08/31/2010 36 Months From Approved 08/31/2007
12,500 0 12,500
3,125 0 3,125
0 0 0

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

EO: EO 10450 Name/Subject of EO: Verification of Employment and Suitability
  
None

Not associated with rulemaking

  72 FR 38 02/27/2007
72 FR 118 06/20/2007
No

1
IC Title Form No. Form Name
Inquiry Concerning Application for Employment VAFL-5-127 Inquiry Concerning Aplicant for Employment

  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

$27,068
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  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.
07/02/2007


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