201504-1091-001CF RCF OMB: 3046-0046
OMB.report
OMB 3046-0046
RCF 201504-1091-001CF
( RCF New )
Array
(
[refNbr] => 201504-1091-001CF
[obm] => 3046-0046
[icr] => 201310-3046-002
[status] => Historical Active
[agency] => DOI/OEO
[title] => DOI Use of Demographic Information on Applicants Form
[typeRCF] => RCF New
[oiraAction] => Approved without change
[oiraNOA] => 265679
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 2015-04-23
[dateReceived] => 2015-04-16
)
Document
View RCF
- OIRA Conclusion
RCF ID: 201504-1091-001CFPrevious RCF ID:
Status:
Historical Active
Expiration Date: 05/31/2017
Agency/Subagency: DOI/OEOAgency Tracking No:
Host OMB Control No: 3046-0046Host ICR Reference No: 201310-3046-002
Title: DOI Use of Demographic Information on Applicants Form
Type of RCF: RCF New
OIRA Conclusion Action: Approved without changeConclusion Date:
04/23/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/16/2015
Terms of Clearance:
Description of Agency Usage:
DOI use of this common form.
Authorizing Statute(s):
None
Annual Cost to Federal Government: $66,501
Agency Contact:
David Alspach 202 219-8526 david_d_alspach@nbc.gov
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Applicant Background Questionnaire
366,680
18,334
0
Other
Form
3046-0046
Demographic Information on Applicants
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
366,680
0
0
366,680
0
0
Annual Time Burden (Hours)
18,334
0
0
18,334
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
DOI use of Common Form