Inquiry Concerning Application for Employment

ICR 201603-2900-001

OMB: 2900-0117

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2016-08-25
IC Document Collections
IC ID
Document
Title
Status
28322 Modified
ICR Details
2900-0117 201603-2900-001
Historical Inactive 201304-2900-014
VA 2900-0117
Inquiry Concerning Application for Employment
Extension without change of a currently approved collection   No
Regular
Withdrawn 05/08/2017
Retrieve Notice of Action (NOA) 09/19/2016
Continued use of this collection of information is in violation of the Paperwork Reduction Act and should be reported to OMB. Before the Department of Veterans Affairs can re-instate this collection, the agency should submit a draft supporting statement to OMB responding to OMB's comments from January 05, 2017 requesting 1) provision of source information for BLS wage estimate in Q. 12(e); 2) a detailed description of the analytical cost component in response to Q. 14; and 3) a revised response to question 3 that considers the potential for the electronic collection of signatures.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved 05/31/2017
0 0 12,500
0 0 3,125
0 0 0

The information obtained through use of VA Form Letter 5-127 is use by appointing officials in determining an applicant's suitability and qualifications for employment.

US Code: 5 USC 552a Name of Law: Privacy Act of 1974
   EO: EO 10450 Name/Subject of EO: Verification of Employment and Suitability
  
None

Not associated with rulemaking

  78 FR 40771 04/25/2013
81 FR 58554 08/25/2016
No

1
IC Title Form No. Form Name
Inquiry Concerning Application for Employment FL5-127 Inquiry Concerning Application for Employment

No
No

$27,068
No
No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@va.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.
09/19/2016


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