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Form USM-164 - USMS Applicant Appraisal Questionnaire
USM-164 Applicant Appraisal Questionnaire
OMB: 1105-0106
IC ID: 231921
OMB.report
DOJ/LA
OMB 1105-0106
ICR 202107-1105-001
IC 231921
( )
Documents and Forms
Document Name
Document Type
Form Form USM-164
Form USM-164 - USMS Applicant Appraisal Questionnaire
Form and Instruction
Form USM-164 USMS Applicant Appraisal Questionnaire
usm164.pdf
Form and Instruction
Form USM-164 USMS Applicant Appraisal Questionnaire
usm164.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form USM-164 - USMS Applicant Appraisal Questionnaire
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form USM-164
USMS Applicant Appraisal Questionnaire
usm164.pdf
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
OPM/Gov-1, General Personnel Records
FR Citation:
76 FR 32997
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,500
0
1,000
-1,000
0
1,500
Annual IC Time Burden (Hours)
500
0
333
-333
0
500
Annual IC Cost Burden (Dollars)
20,745
0
0
0
0
20,745
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.