Department of State Application for Employment

ICR 201104-1405-004

OMB: 1405-0139

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2011-04-25
Supplementary Document
2008-06-26
IC Document Collections
ICR Details
1405-0139 201104-1405-004
Historical Active 200806-1405-004
STATE/AFA
Department of State Application for Employment
Revision of a currently approved collection   No
Regular
Approved with change 08/17/2011
Retrieve Notice of Action (NOA) 04/25/2011
State will revise and submit this collection for approval to OMB once new OMB guidance on collecting information about disabilities is issued.
  Inventory as of this Action Requested Previously Approved
08/31/2014 36 Months From Approved 09/30/2011
3,000 0 20,000
1,500 0 10,000
0 0 0

The computer-readable and online form will be used by applicants for certain excepted service jobs at the Department of State, such as Student Programs and Foreign Service jobs. These programs generate approximately 16,000 applications per year. Data is necessary to determine qualifications, and make selections, in accordance with Federal policies. The online version will be filled out and submitted through careers.state.gov.

US Code: 5 USC 1302 Name of Law: Regulations
   US Code: 5 USC 1104 Name of Law: Delegation of Authority for personnel management
  
None

Not associated with rulemaking

  75 FR 252 12/17/2010
76 FR 79 04/25/2011
No

  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 3,000 20,000 0 -17,000 0 0
Annual Time Burden (Hours) 1,500 10,000 0 -8,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Using Information Technology
USAJOBS hiring software allows for the electronic submission of responses through an online application. Subsequent electronic processing steps automate the loading of applications into the HR database and reduce evaluation workload for Department of State personnel.

$1,350,495
No
No
No
No
No
Uncollected
Marvin Moore 2022618869 MooreME1@state.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.
04/25/2011


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