Occupational Questionnaire

Forms and Documents

Document Name	Status
Form OPM 1203 FX Occupational Questionnaire Form and Instruction	Unchanged
Emergency Review Form 2016-10-26.docx Supplementary Document	2017-02-15
Emergency Extension 3206.docx Justification for No Material/Nonsubstantive Change	2017-02-15
5 CFR 1320.docx Supplementary Document	2017-02-15
Supporting Statement OPM Form 1203 revised vky.doc Supporting Statement A	2013-09-30
2013-14771.pdf Supplementary Document	2013-09-30
2013-23836.pdf Supplementary Document	2013-09-30

IC Document Collections

IC ID	Document Title	Status
46282	Occupational Questionnaire Form and Instruction	Unchanged

ICR Details

OMB Control No: 3206-0040	ICR Reference No: 201702-3206-001
Status: Historical Active	Previous ICR Reference No: 201309-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Occupational Questionnaire
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 02/20/2017
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/01/2017
	Date Received in OIRA: 02/15/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	6 Months From Approved
Responses	10,286,701	0	0
Time Burden (Hours)	7,715,026	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The OPM Form 1203 FX serves as a collection of information from applicants in a format suitable for automated processing and creates applicant records in OPM's automated examining system.

Emergency Justfication: This EE for 3206-0040 was announced in the FRN Nov. 30th but was not posted in ROCIS before expiration on 12/31/16 https://www.federalregister.gov/documents/2016/11/30/2016-28785/omb-emergency-review-and-60-day-notice-for-comment-for-existing-information-collection-request-opm Page:86345 (1 page) Document Number:2016-28785 Docket Number:OPM_FRDOC_0001 Public Comments:0 comments

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Authorizing Statute(s): US Code: 5 USC 1104 Name of Law: null
   US Code: 5 USC 1302 Name of Law: null
   US Code: 5 USC 3304 Name of Law: null
   US Code: 5 USC 3301 Name of Law: null
  

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:
	81 FR 86345	11/30/2016
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
Occupational Questionnaire	OPM 1203 FX	Occupational Questionnaire

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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	10,286,701	0	0	0	0	10,286,701
Annual Time Burden (Hours)	7,715,026	0	0	0	0	7,715,026
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: $468,280

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]? 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

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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: 02/15/2017

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