Application for 10-Point Veteran Preference

Forms and Documents

Document Name	Status
Form SF 15 Application for 10-Point Veteran Preference Form and Instruction	Modified
2010-14164[1].pdf Supplementary Document	2010-08-31
2010-14164[1].pdf Supplementary Document	2010-08-31
Supporting Statement SF-15 083110.doc Supporting Statement A	2010-08-31

IC Document Collections

IC ID	Document Title	Status
33532	Application for 10-Point Veteran Preference Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0001	ICR Reference No: 201004-3206-017
Status: Historical Active	Previous ICR Reference No: 200708-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Application for 10-Point Veteran Preference
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/08/2010
	Date Received in OIRA: 08/31/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	10/31/2010
Responses	18,418	0	11,252
Time Burden (Hours)	6,139	0	3,751
Cost Burden (Dollars)	0	0	0

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Abstract: To adjudicate individuals' claims for veterans' preference in accordance with the Veterans' Preference Act of 1944. The respondents will be disabled veterans, spouses, and mothers of disabled veterans.

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Authorizing Statute(s): US Code: 5 USC 2108 Name of Law: Veterans Preference Act of 1944
   US Code: 5 USC 3309 Name of Law: Veterans Preference Act of 1944
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 33657	06/14/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 53001	08/30/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for 10-Point Veteran Preference	SF 15	Application for 10-point veterans preference

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ICR Summary of Burden

	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	18,418	11,252	0	7,166	0	0
Annual Time Burden (Hours)	6,139	3,751	0	2,388	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of 10-point veterans hired by the Federal Government has increased in each succeeding year. In order to make the most accurate estimate possible of the burden to the public in completing this form, we use CPDF data for 10-point veterans hired. The CPDF data indicated that, during fiscal year 2009, there were at least 18,418 forms submitted (based upon 10-point veterans’ preference individuals hired) and it took 10 minutes to complete the form. This provided the estimated annual burden of 3,070 hours.

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Annual Cost to Federal Government: $61,240

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/31/2010

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