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

ICR 201111-1110-001

OMB: 1110-0047

Federal Form Document

Forms and Documents
ICR Details
1110-0047 201111-1110-001
Historical Active 200806-1110-001
DOJ/FBI
Applicant Questionnaire: Race, National Origin, Gender, and Disability Demographics
Revision of a currently approved collection   No
Regular
Approved with change 09/03/2012
Retrieve Notice of Action (NOA) 03/08/2012
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved 08/31/2012
455,919 0 158,403,960
0 0 30,462
0 0 0

Under the authority of the EEOC Management Directive (MD) 715, the Human Resources Division is requesting demographic information from applicants applying for employment with the FBI. Without the requested data, the FBI would be in a position of non-compliance with MD-715.

None
None

Not associated with rulemaking

  76 FR 80965 12/27/2011
77 FR 13151 03/05/2012
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 455,919 158,403,960 0 0 -157,948,041 0
Annual Time Burden (Hours) 0 30,462 0 0 -30,462 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There are no changes to this collection that are of a programmatic nature. The burden estimates are changing because the FBI is utilizing the common form provided by EEOC under OMB control number 3046-0046. Because the EEOC collection accounts for the burden for all agencies to use the form, this collection request imposes no new burden.

$0
No
No
No
No
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.
03/08/2012


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