Applicant Questionnaire: Race, National Origin, Gender, and Disability Demographics

ICR 200806-1110-001

OMB: 1110-0047

Federal Form Document

IC Document Collections
ICR Details
1110-0047 200806-1110-001
Historical Active 200711-1110-002
DOJ/FBI
Applicant Questionnaire: Race, National Origin, Gender, and Disability Demographics
Existing collection in use without an OMB Control Number   No
Regular
Approved with change 06/12/2009
Retrieve Notice of Action (NOA) 09/22/2008
  Inventory as of this Action Requested Previously Approved
06/30/2012 36 Months From Approved
158,403,960 0 0
30,462 0 0
0 0 0

This form will be used to collect race, national origin, gender, and disability demographic information from applicant registering in the FBI's automated hiring system. The collection will meet the mandates of MD-175.

None
None

Not associated with rulemaking

  73 FR 23272 12/17/2007
73 FR 39041 02/28/2008
No

1
IC Title Form No. Form Name
Applicant Questionnaire, Race, National Origin, Gender and Disability Demographics 3-378 Applicant Questionnaire

  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 158,403,960 0 0 158,403,960 0 0
Annual Time Burden (Hours) 30,462 0 0 30,462 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is really a new collection, so we don't have a burden increase. We selected an existing collection without prior approval.

$0
No
No
Uncollected
Uncollected
No
Uncollected
Angela Graham 2022339341 angela.graham@ic.fbi.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.
09/22/2008


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