National Defense Executive Reserve Personal Qualifications Statement

Forms and Documents

Document Name	Status
Form FEMA Form 646-0-1 National Defense Executive Reserve Personal Qualifications Statement Form	Modified
Narrative of changes to Collection OMB No 1660-0001.doc Supplementary Document	2009-07-22
Supporting Statement 1660-0001 6-3-09.doc Supporting Statement A	2009-06-30
Defense Production Act 1950 Section 710(e).pdf Supplementary Document	2009-06-03
Executive Order 12919 Section 601.doc Supplementary Document	2009-06-03
30-day FRN 1660-0001 pub 6-3-09.pdf Supplementary Document	2009-06-03
60-day FRN 1660-0001 pub 3-13-09.pdf Supplementary Document	2009-06-03

IC Document Collections

IC ID	Document Title	Status
43969	National Defense Executive Reserve Personal Qualifications Statement Form	Modified

ICR Details

OMB Control No: 1660-0001	ICR Reference No: 200906-1660-001
Status: Historical Active	Previous ICR Reference No: 200606-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: National Defense Executive Reserve Personal Qualifications Statement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/12/2009
	Date Received in OIRA: 07/22/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved	08/31/2009
Responses	10	0	30
Time Burden (Hours)	5	0	15
Cost Burden (Dollars)	0	0	0

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Abstract: FEMA Form 646-0-1 is an application form that is used by Federal departments and agencies to fill National Defense Executive Reserve (NDER) vacancies. To become a Reservist, individuals with the requisite qualifications must complete the application form. FEMA serves as the NDER coordinator for all Federal departments and agencies, ensuring that applicants are not already serving in a Federal department or agency sponsored unit and determines the Federal department or agency best suited for the applicant.

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Authorizing Statute(s): EO: EO 12919 Name/Subject of EO: National Defense Industrial Resources Preparedness
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 10952	03/13/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 26722	06/03/2009
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
National Defense Executive Reserve Personal Qualifications Statement	FEMA Form 646-0-1	National Defense Executive Reserve Personal Qualifications Statement

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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	10	30	0	0	-20	0
Annual Time Burden (Hours)	5	15	0	0	-10	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:

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Annual Cost to Federal Government: $219

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 07/22/2009

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