U.S. Coast Guard Non-Appropriated Fund Employment Application

Forms and Documents

Document Name	Status
Form CG-1227B (11/16) U.S. Coast Guard Non-Appropriated Fund Employment Application Form	Modified
1625-0120_30-Day FR Notice_83 FR 4227_20180130.doc Supplementary Document	2018-04-03
1625-0120_60-Day FR Notice_82 FR 48836_20171020.doc Supplementary Document	2018-04-03
DHS_USCG_014 Military Pay_Personnel_SORN_20111028.docx Supplementary Document	2018-04-03
privacy-pia-dhs-all043-hiring and onboarding-april2017.pdf Supplementary Document	2018-04-03
privacy-pia-uscg-direct access-november2016.pdf Supplementary Document	2018-04-03
USCODE-2011-title5-partIII-subpartB-chap33-subchapI-sec3320.pdf Supplementary Document	2018-04-03
USCODE-2011-title5-partIII-subpartB-chap33-subchapI-sec3301.pdf Supplementary Document	2018-04-03
USCODE-2011-title5-partIII-subpartA-chap21-sec2103.pdf Supplementary Document	2018-04-03
USCODE-2011-title5-partII-chap11-sec1104.pdf Supplementary Document	2018-04-03
USCODE-2011-title5-partI-chap3-sec301.pdf Supplementary Document	2018-04-03
1625-0120_SS_r2_2018.docx Supporting Statement A	2018-06-05

IC Document Collections

IC ID	Document Title	Status
208832	U.S. Coast Guard Non-Appropriated Fund Employment Application Form	Modified

ICR Details

OMB Control No: 1625-0120	ICR Reference No: 201804-1625-002
Status: Active	Previous ICR Reference No: 201405-1625-010
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: U.S. Coast Guard Non-Appropriated Fund Employment Application
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/16/2018
	Date Received in OIRA: 06/06/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved
Responses	5,755	0	0
Time Burden (Hours)	3,837	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The employment application is needed to apply for employment in the Coast Guard non-appropriated fund (NAF) workforce. Application fills the void created when the OPM form OF-612, Optional Application for Federal Employment was canceled.

---

Authorizing Statute(s): US Code: 5 USC 301 Name of Law: Departmental Regulations
   US Code: 5 USC 1104 Name of Law: Delegation of Authority for Personnel Management
   US Code: 5 USC 2103 Name of Law: The Excepted Service
   US Code: 5 USC 3301 Name of Law: Civil Service; Generally
   US Code: 5 USC 3320 Name of Law: Excepted Service; Government of the District of Columbia; Selection
  

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:
	82 FR 48836	10/20/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 4227	01/30/2018
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
U.S. Coast Guard Non-Appropriated Fund Employment Application	CG-1227B (11/16)	Nonappropriated Fund Employment Application

---

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	5,755	0	0	0	-2,645	8,400
Annual Time Burden (Hours)	3,837	0	0	0	-1,707	5,544
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 change in the burden is an ADJUSTMENT due to a change (i.e., decrease) in the estimated annual number of respondents. Item 13 – Previous submission was an estimate of the number of respondents. The CG NAF HRIS provides an accurate count of actual applications. Previous submission overestimated the number of applications received. The reporting requirements and the methodology for calculating burden, remain unchanged. Item 14 – Cost incurred not listed on previous 83-I.

---

Annual Cost to Federal Government: $12,442

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 06/06/2018

---