Census Employment Inquiry

Forms and Documents

Document Name	Status
Form BC-170D Census Employment Inquiry Form	Modified
Proposed changes to BC170.docx Justification for No Material/Nonsubstantive Change	2012-07-20
Supporting Statemen06211.docx Supporting Statement A	2011-06-28

IC Document Collections

IC ID	Document Title	Status
3363	Census Employment Inquiry Form	Modified

ICR Details

OMB Control No: 0607-0139	ICR Reference No: 201207-0607-003
Status: Historical Active	Previous ICR Reference No: 201106-0607-006
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Census Employment Inquiry
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/14/2012
	Date Received in OIRA: 08/08/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	08/31/2014	08/31/2014
Responses	65,000	0	65,000
Time Burden (Hours)	16,250	0	16,250
Cost Burden (Dollars)	0	0	0

---

Abstract: The BC-170A, BC-170B and the BC-170D are used to collect information such as personal data and work experience from job applicants. The completed form will be used to determine the best qualified applicants to fill census jobs.

---

Authorizing Statute(s): US Code: 13 USC 23 a & c Name of Law: null
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 22864	04/25/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 38608	07/01/2011
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Census Employment Inquiry	BC-170A, BC-170B, BC-170D	Census Employment Inquiry ,   Census Employment Inquiry ,   Census Employment Inquiry

---

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	65,000	65,000	0	0	0	0
Annual Time Burden (Hours)	16,250	16,250	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The decrease in reporting burden is due to the completion of the 2010 Census and the reduction in the number of positions and applicants.

---

Annual Cost to Federal Government: $30,766

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]? No

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

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 08/08/2012

---