81_FR_72788 81 FR 72585 - Agency Information Collection Activities

81 FR 72585 - Agency Information Collection Activities

EQUAL EMPLOYMENT OPPORTUNITY COMMISSION

Federal Register Volume 81, Issue 203 (October 20, 2016)

Page Range72585-72590
FR Document2016-25331

In accordance with the Paperwork Reduction Act, the Equal Employment Opportunity Commission (EEOC or Commission) announces that it intends to submit to the Office of Management and Budget (OMB) a request for a three-year extension of the Demographic Information on Federal Job Applicants, OMB No. 3046-0046.

Federal Register, Volume 81 Issue 203 (Thursday, October 20, 2016)
[Federal Register Volume 81, Number 203 (Thursday, October 20, 2016)]
[Notices]
[Pages 72585-72590]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-25331]


=======================================================================
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EQUAL EMPLOYMENT OPPORTUNITY COMMISSION


Agency Information Collection Activities

AGENCY: Equal Employment Opportunity Commission.

ACTION: Notice of Information Collection--Extension without Change: 
Demographic Information on Applicants for Federal Employment.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Paperwork Reduction Act, the Equal 
Employment Opportunity Commission (EEOC or Commission) announces that 
it intends to submit to the Office of Management and Budget (OMB) a 
request for a three-year extension of the Demographic Information on 
Federal Job Applicants, OMB No. 3046-0046.

DATES: Written comments on this notice must be submitted on or before 
December 19, 2016.

ADDRESSES: Comments should be sent to Bernadette Wilson, Acting 
Executive Officer, Executive Secretariat, Equal Employment Opportunity 
Commission, 131 M Street NE., Washington, DC 20507. As a convenience to 
commenters, the Executive Secretariat will accept comments totaling six 
or fewer pages by facsimile (``FAX'') machine. This limitation is 
necessary to assure access to the equipment. The telephone number of 
the FAX receiver is (202) 663-4114. (This is not a toll-free number). 
Receipt of FAX transmittals will not be acknowledged, except that the 
sender may request confirmation of receipt by calling the Executive 
Secretariat staff at (202) 663-4070 (voice) or (202) 663-4074 (TTD). 
(These are not toll-free telephone numbers.) Instead of sending written 
comments to the EEOC, you may submit comments and attachments 
electronically at http://www.regulations.gov, which is the Federal 
eRulemaking Portal. Follow the instructions online for submitting 
comments. All comments received through this portal will be posted 
without change, including any personal information you provide, except 
as noted below. The EEOC reserves the right to refrain from posting 
libelous or otherwise inappropriate comments including those that 
contain obscene, indecent, or profane language; that contain threats or 
defamatory statements; that contain hate speech directed at race, 
color, sex, national origin, age, religion, disability, or genetic 
information; or that promote or endorse services or products. All 
comments received, including any personal information provided, also 
will be available for public inspection during normal business hours by 
appointment only at the EEOC Headquarters' Library, 131 M Street NE., 
Washington, DC 20507. Upon request, individuals who require assistance 
viewing comments will be provided appropriate aids such as readers or 
print magnifiers. To schedule an appointment to inspect the comments at 
EEOC's library, contact the library staff at (202) 663-4630 (voice) or 
(202) 663-4641 (TTY). (These are not toll-free numbers.)

FOR FURTHER INFORMATION CONTACT: Jamie Price, Federal Sector Programs, 
Office of Federal Operations, 131 M Street NE., Washington, DC 20507, 
(202) 663-4484 (voice); (202) 663-4593 (TTY).

SUPPLEMENTARY INFORMATION: On July 26, 2010, President Obama issued 
Executive Order 13548, which directs Executive departments and agencies 
(hereafter ``agencies'') to improve their efforts to employ Federal 
workers with disabilities through increased recruitment, hiring, and 
retention of these individuals. OPM, in consultation with the White 
House (including the Office of Management and Budget (OMB), the 
Department of Labor (DOL), and the EEOC has developed, as required by 
the E.O. 13548, model recruitment and hiring strategies for agencies to 
use to increase their employment of individuals with disabilities. The 
strategies include collecting, maintaining, and analyzing applicant 
flow data and examining existing recruitment programs and hiring 
practices to identify and eliminate any barriers to recruiting/hiring 
individuals with disabilities and, in particular, individuals with 
targeted disabilities. The EEOC's Demographic

[[Page 72586]]

Information on Federal Job Applicants form (OMB No. 3046-0046) is 
intended for use by federal agencies in gathering data on the race, 
ethnicity, sex, and disability status of job applicants. This form is 
used by the EEOC and other agencies to gauge progress and trends over 
time with respect to equal employment opportunity goals.
    Pursuant to the Paperwork Reduction Act of 1995, 44 U.S.C. Chapter 
35, and OMB regulation 5 CFR 1320.8(d)(1), the Commission solicits 
public comment to enable it to:
    (1) Evaluate whether the proposed data collection tool will have 
practical utility by enabling a federal agency to determine whether 
recruitment activities are effectively reaching all segments of the 
relevant labor pool in compliance with the laws enforced by the 
Commission and whether the agency's selection procedures allow all 
applicants to compete on a level playing field regardless of race, 
national origin, sex or disability status;
    (2) Evaluate the accuracy of the agency's estimate of the burden of 
the proposed collection of information, including the validity of the 
methodology and assumptions used;
    (3) Enhance the quality, utility, and clarity of the information to 
be collected; and
    (4) Minimize the burden of the collection of information on 
applicants for federal employees who choose to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses.

Overview of This Information Collection

    Collection Title: Demographic Information on Federal Job 
Applicants.
    OMB Control No.: 3046-0046.
    Description of Affected Public: Individuals submitting applications 
for federal employment.
    Number of Annual Responses: 5,800.
    Estimated Time per Response: 3 minutes.
    Total Annual Burden Hours: 290.\1\
---------------------------------------------------------------------------

    \1\ This total is calculated as follows: 5,800 annual responses 
x 3 minutes per response = 17,400 minutes. 17,400/60 = 290 hours.
---------------------------------------------------------------------------

    Annual Federal Cost: None.
    Abstract: Under section 717 of Title VII and 501 of the 
Rehabilitation Act, the Commission is charged with reviewing and 
approving federal agencies plans to affirmatively address potential 
discrimination before it occurs. Pursuant to such oversight 
responsibilities, the Commission has established systems to monitor 
compliance with Title VII and the Rehabilitation Act by requiring 
federal agencies to evaluate their employment practices through the 
collection and analysis of data on the race, national origin, sex and 
disability status of applicants for both permanent and temporary 
employment.
    Several federal agencies (or components of such agencies) have 
previously obtained separate OMB approval for the use of forms 
collecting data on the race, national origin, sex, and disability 
status of applicants. In order to avoid unnecessary duplication of 
effort and a proliferation of forms, the EEOC seeks an extension of the 
approval of a common form to be used by all federal agencies.
    Response by applicants is optional. The information obtained will 
be used by federal agencies only for evaluating whether an agency's 
recruitment activities are effectively reaching all segments of the 
relevant labor pool and whether the agency's selection procedures allow 
all applicants to compete on a level playing field regardless of race, 
national origin, sex, or disability status. The voluntary responses are 
treated in a highly confidential manner and play no part in the job 
selection process. The information is not provided to any panel rating 
the applications, to selecting officials, to anyone who can affect the 
application, or to the public. Rather, the information is used in 
summary form to determine trends over many selections within a given 
occupational or organization area. No information from the form is 
entered into an official personnel file.
    Burden Statement: Because of the predominant use of online 
application systems, which require only pointing and clicking on the 
selected responses, and because the form requests only eight questions 
regarding basic information, the EEOC estimates that an applicant can 
complete the form in approximately 3 minutes or less. Based on past 
experience, we expect that 5,800 applicants will choose to complete the 
form.
    Upon approval of this common form by OMB, federal agencies may 
request OMB approval to use this common form without having to publish 
notices and request public comments for 60 and 30 days. Each agency 
must account for the burden associated with their use of the common 
form.

    Dated: October 14, 2016.

    For the Commission.
Jenny R. Yang,
Chair.
BILLING CODE 6570-01-P

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[FR Doc. 2016-25331 Filed 10-19-16; 8:45 am]
 BILLING CODE 6570-01-C



                                                                              Federal Register / Vol. 81, No. 203 / Thursday, October 20, 2016 / Notices                                          72585

                                                  Combined Compliance Filing to be                        must file in accordance with Rules 211                Instead of sending written comments to
                                                  effective 10/14/2016.                                   and 214 of the Commission’s                           the EEOC, you may submit comments
                                                     Filed Date: 10/14/16.                                Regulations (18 CFR 385.211 and                       and attachments electronically at http://
                                                     Accession Number: 20161014–5099.                     385.214) on or before 5:00 p.m. Eastern               www.regulations.gov, which is the
                                                     Comments Due: 5 p.m. ET 11/4/16.                     time on the specified comment date.                   Federal eRulemaking Portal. Follow the
                                                     Docket Numbers: ER17–98–000.                         Protests may be considered, but                       instructions online for submitting
                                                     Applicants: Sky River LLC.                           intervention is necessary to become a                 comments. All comments received
                                                     Description: Compliance filing: Sky                  party to the proceeding.                              through this portal will be posted
                                                  River LLC’s Order Nos. 827 and 828                         eFiling is encouraged. More detailed               without change, including any personal
                                                  Single Combined Compliance Filing to                    information relating to filing                        information you provide, except as
                                                  be effective 10/14/2016.                                requirements, interventions, protests,                noted below. The EEOC reserves the
                                                     Filed Date: 10/14/16.                                service, and qualifying facilities filings            right to refrain from posting libelous or
                                                     Accession Number: 20161014–5100.                     can be found at: http://www.ferc.gov/                 otherwise inappropriate comments
                                                     Comments Due: 5 p.m. ET 11/4/16.                     docs-filing/efiling/filing-req.pdf. For               including those that contain obscene,
                                                     Docket Numbers: ER17–99–000.                         other information, call (866) 208–3676                indecent, or profane language; that
                                                     Applicants: Tucson Electric Power                    (toll free). For TTY, call (202) 502–8659.            contain threats or defamatory
                                                  Company.                                                  Dated: October 14, 2016.
                                                                                                                                                                statements; that contain hate speech
                                                     Description: Compliance filing:                                                                            directed at race, color, sex, national
                                                                                                          Nathaniel J. Davis, Sr.,
                                                  Compliance Filing per Orders 827 & 828                                                                        origin, age, religion, disability, or
                                                                                                          Deputy Secretary.                                     genetic information; or that promote or
                                                  (LGIA & SGIA) to be effective 12/14/
                                                                                                          [FR Doc. 2016–25361 Filed 10–19–16; 8:45 am]          endorse services or products. All
                                                  2016.
                                                     Filed Date: 10/14/16.                                BILLING CODE 6717–01–P                                comments received, including any
                                                     Accession Number: 20161014–5101.                                                                           personal information provided, also will
                                                     Comments Due: 5 p.m. ET 11/4/16.                                                                           be available for public inspection during
                                                     Docket Numbers: ER17–100–000.                        EQUAL EMPLOYMENT OPPORTUNITY                          normal business hours by appointment
                                                     Applicants: UNS Electric, Inc.                       COMMISSION                                            only at the EEOC Headquarters’ Library,
                                                     Description: Compliance filing:                                                                            131 M Street NE., Washington, DC
                                                                                                          Agency Information Collection                         20507. Upon request, individuals who
                                                  Compliance Filing per Orders 827 & 828
                                                                                                          Activities                                            require assistance viewing comments
                                                  (LGIA & SGIA) to be effective 12/14/
                                                  2016.                                                   AGENCY: Equal Employment                              will be provided appropriate aids such
                                                     Filed Date: 10/14/16.                                Opportunity Commission.                               as readers or print magnifiers. To
                                                     Accession Number: 20161014–5105.                                                                           schedule an appointment to inspect the
                                                                                                          ACTION: Notice of Information
                                                     Comments Due: 5 p.m. ET 11/4/16.                                                                           comments at EEOC’s library, contact the
                                                                                                          Collection—Extension without Change:
                                                     Docket Numbers: ER17–101–000.                                                                              library staff at (202) 663–4630 (voice) or
                                                                                                          Demographic Information on Applicants
                                                     Applicants: Sagebrush, a California                                                                        (202) 663–4641 (TTY). (These are not
                                                                                                          for Federal Employment.
                                                  partnership.                                                                                                  toll-free numbers.)
                                                     Description: Tariff Cancellation:                    SUMMARY: In accordance with the                       FOR FURTHER INFORMATION CONTACT:
                                                  Notice of Cancellation of Sagebrush, a                  Paperwork Reduction Act, the Equal                    Jamie Price, Federal Sector Programs,
                                                  California partnership’s OATT to be                     Employment Opportunity Commission                     Office of Federal Operations, 131 M
                                                  effective 12/14/2016.                                   (EEOC or Commission) announces that                   Street NE., Washington, DC 20507, (202)
                                                     Filed Date: 10/14/16.                                it intends to submit to the Office of                 663–4484 (voice); (202) 663–4593
                                                     Accession Number: 20161014–5113.                     Management and Budget (OMB) a                         (TTY).
                                                     Comments Due: 5 p.m. ET 11/4/16.                     request for a three-year extension of the             SUPPLEMENTARY INFORMATION: On July
                                                     Docket Numbers: ER17–102–000.                        Demographic Information on Federal                    26, 2010, President Obama issued
                                                     Applicants: California Independent                   Job Applicants, OMB No. 3046–0046.                    Executive Order 13548, which directs
                                                  System Operator Corporation.                            DATES: Written comments on this notice                Executive departments and agencies
                                                     Description: Compliance filing: 2016–                must be submitted on or before                        (hereafter ‘‘agencies’’) to improve their
                                                  10–14 Compliance Order No. 827 and                      December 19, 2016.                                    efforts to employ Federal workers with
                                                  Order No. 828 to be effective 9/21/2016.                ADDRESSES: Comments should be sent to                 disabilities through increased
                                                     Filed Date: 10/14/16.                                Bernadette Wilson, Acting Executive                   recruitment, hiring, and retention of
                                                     Accession Number: 20161014–5131.                     Officer, Executive Secretariat, Equal                 these individuals. OPM, in consultation
                                                     Comments Due: 5 p.m. ET 11/4/16.                     Employment Opportunity Commission,                    with the White House (including the
                                                     Docket Numbers: ER17–103–000.                        131 M Street NE., Washington, DC                      Office of Management and Budget
                                                     Applicants: San Diego Gas & Electric                 20507. As a convenience to                            (OMB), the Department of Labor (DOL),
                                                  Company.                                                commenters, the Executive Secretariat                 and the EEOC has developed, as
                                                     Description: § 205(d) Rate Filing:                   will accept comments totaling six or                  required by the E.O. 13548, model
                                                  SDGEs Order Nos. 827 and 828                            fewer pages by facsimile (‘‘FAX’’)                    recruitment and hiring strategies for
                                                  Compliance Filing to be effective 10/17/                machine. This limitation is necessary to              agencies to use to increase their
                                                  2016.                                                   assure access to the equipment. The                   employment of individuals with
                                                     Filed Date: 10/14/16.                                telephone number of the FAX receiver                  disabilities. The strategies include
                                                     Accession Number: 20161014–5146.                     is (202) 663–4114. (This is not a toll-free           collecting, maintaining, and analyzing
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                                                     Comments Due: 5 p.m. ET 11/4/16.                     number). Receipt of FAX transmittals                  applicant flow data and examining
                                                     The filings are accessible in the                    will not be acknowledged, except that                 existing recruitment programs and
                                                  Commission’s eLibrary system by                         the sender may request confirmation of                hiring practices to identify and
                                                  clicking on the links or querying the                   receipt by calling the Executive                      eliminate any barriers to recruiting/
                                                  docket number.                                          Secretariat staff at (202) 663–4070                   hiring individuals with disabilities and,
                                                     Any person desiring to intervene or                  (voice) or (202) 663–4074 (TTD). (These               in particular, individuals with targeted
                                                  protest in any of the above proceedings                 are not toll-free telephone numbers.)                 disabilities. The EEOC’s Demographic


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                                                  72586                       Federal Register / Vol. 81, No. 203 / Thursday, October 20, 2016 / Notices

                                                  Information on Federal Job Applicants                   Overview of This Information                            whether an agency’s recruitment
                                                  form (OMB No. 3046–0046) is intended                    Collection                                              activities are effectively reaching all
                                                  for use by federal agencies in gathering                  Collection Title: Demographic                         segments of the relevant labor pool and
                                                  data on the race, ethnicity, sex, and                   Information on Federal Job Applicants.                  whether the agency’s selection
                                                  disability status of job applicants. This                 OMB Control No.: 3046–0046.                           procedures allow all applicants to
                                                  form is used by the EEOC and other                        Description of Affected Public:                       compete on a level playing field
                                                  agencies to gauge progress and trends                   Individuals submitting applications for                 regardless of race, national origin, sex,
                                                  over time with respect to equal                         federal employment.                                     or disability status. The voluntary
                                                  employment opportunity goals.                             Number of Annual Responses: 5,800.                    responses are treated in a highly
                                                                                                            Estimated Time per Response: 3                        confidential manner and play no part in
                                                     Pursuant to the Paperwork Reduction                  minutes.                                                the job selection process. The
                                                  Act of 1995, 44 U.S.C. Chapter 35, and                    Total Annual Burden Hours: 290.1                      information is not provided to any panel
                                                  OMB regulation 5 CFR 1320.8(d)(1), the                    Annual Federal Cost: None.                            rating the applications, to selecting
                                                  Commission solicits public comment to                     Abstract: Under section 717 of Title                  officials, to anyone who can affect the
                                                  enable it to:                                           VII and 501 of the Rehabilitation Act,                  application, or to the public. Rather, the
                                                     (1) Evaluate whether the proposed                    the Commission is charged with                          information is used in summary form to
                                                                                                          reviewing and approving federal                         determine trends over many selections
                                                  data collection tool will have practical
                                                                                                          agencies plans to affirmatively address                 within a given occupational or
                                                  utility by enabling a federal agency to
                                                                                                          potential discrimination before it                      organization area. No information from
                                                  determine whether recruitment                           occurs. Pursuant to such oversight
                                                  activities are effectively reaching all                                                                         the form is entered into an official
                                                                                                          responsibilities, the Commission has                    personnel file.
                                                  segments of the relevant labor pool in                  established systems to monitor
                                                  compliance with the laws enforced by                                                                              Burden Statement: Because of the
                                                                                                          compliance with Title VII and the                       predominant use of online application
                                                  the Commission and whether the                          Rehabilitation Act by requiring federal
                                                  agency’s selection procedures allow all                                                                         systems, which require only pointing
                                                                                                          agencies to evaluate their employment                   and clicking on the selected responses,
                                                  applicants to compete on a level playing                practices through the collection and                    and because the form requests only
                                                  field regardless of race, national origin,              analysis of data on the race, national                  eight questions regarding basic
                                                  sex or disability status;                               origin, sex and disability status of
                                                                                                                                                                  information, the EEOC estimates that an
                                                     (2) Evaluate the accuracy of the                     applicants for both permanent and
                                                                                                                                                                  applicant can complete the form in
                                                  agency’s estimate of the burden of the                  temporary employment.
                                                                                                                                                                  approximately 3 minutes or less. Based
                                                                                                            Several federal agencies (or
                                                  proposed collection of information,                                                                             on past experience, we expect that 5,800
                                                                                                          components of such agencies) have
                                                  including the validity of the                                                                                   applicants will choose to complete the
                                                                                                          previously obtained separate OMB
                                                  methodology and assumptions used;                                                                               form.
                                                                                                          approval for the use of forms collecting
                                                     (3) Enhance the quality, utility, and                data on the race, national origin, sex,                   Upon approval of this common form
                                                  clarity of the information to be                        and disability status of applicants. In                 by OMB, federal agencies may request
                                                  collected; and                                          order to avoid unnecessary duplication                  OMB approval to use this common form
                                                                                                          of effort and a proliferation of forms, the             without having to publish notices and
                                                     (4) Minimize the burden of the                                                                               request public comments for 60 and 30
                                                  collection of information on applicants                 EEOC seeks an extension of the
                                                                                                          approval of a common form to be used                    days. Each agency must account for the
                                                  for federal employees who choose to                                                                             burden associated with their use of the
                                                  respond, including through the use of                   by all federal agencies.
                                                                                                            Response by applicants is optional.                   common form.
                                                  appropriate automated, electronic,
                                                                                                          The information obtained will be used                     Dated: October 14, 2016.
                                                  mechanical, or other technological                      by federal agencies only for evaluating                   For the Commission.
                                                  collection techniques or other forms of
                                                                                                                                                                  Jenny R. Yang,
                                                  information technology, e.g., permitting                  1 This total is calculated as follows: 5,800 annual
                                                                                                                                                                  Chair.
                                                  electronic submission of responses.                     responses × 3 minutes per response = 17,400
                                                                                                          minutes. 17,400/60 = 290 hours.                         BILLING CODE 6570–01–P
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                                                        u&               +                   &9



DEMOGRAPHIC INFORMATION ON APPLICANTS                                                                     OMB No.:
                                                                                                          Expiration Date:

 Vacancy Announcement No.:

 Position Title:




YOUR PRIVACY IS PROTECTED

This information is used to determine if our equal employment opportunity efforts are reaching all segments of the population,
consistent with Federal equal employment opportunity laws. Responses to these questions are voluntary. Your responses
will not be shown to the panel rating the applications, to the official selecting an applicant for a position, or to anyone else who
can affect your application. This form will not be placed in your Personnel file nor will it be provided to your supervisors in
your employing office should you be hired. The aggregate information collected through this form will be kept private to the
extent permitted by law. See the Privacy Act Statement below for more information.

Completion of this form is voluntary. No individual personnel selections are made based on this information. There will be no
impact on your application if you choose not to answer any of these questions.



Thank you for helping us to provide better service.

1.   How did you learn about this position? (Check One):


                                           Agency Internet Site recruitment
                0 C 0 0 80 0 0 0 0 0 0 8




                                           Private Employment Web Site
                                           Other Internet Site
                                           Job Fair
                                           Newspaper or magazine
                                           Agency or other Federal government on campus
                                           School or college counselor or other official
                                           Friend or relative working for this agency
                                           Private Employment Office
                                           Agency Human Resources Department (bulletin board or other announcement)
                                           Federal, State, or Local Job Information Center
                                           Other

2. Sex (Check One):

                        C                  Male
                        C                  Female

3. Ethnicity (Check One):


                        O                  Hispanic or Latino — a person of Cuban, Mexican, Puerto Rican, South or Central American, or other
                                           Spanish culture or origin, regardless of race.
                        O                  Not Hispanic or Latino


4. Race (Check all that apply):


               O    American Indian or Alaska Native — a person having origins in any of the original peoples of North or
                    South America (including Central America), and who maintains tribal affiliation or community attachment.
               O    Asian — a person having origins in any of the original peoples of the Far East, Southeast Asia, or the
                    Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan,
                    the Philippine Islands, Thailand, or Vietnam.
               O    Black or African American — a person having origins in any of the black racial groups of Africa.
               O    Native Hawaiian or Other Pacific Islander — a person having origins in any of the original peoples of
                    Hawaii, Guam, Samoa, or other Pacific islands.
               O    White — a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

5. Disability/Serious Health Condition

               The next questions address disability and serious health conditions. Your responses will ensure that
               our outreach and recruitment policies are reaching a wide range of individuals with physical or mental
               conditions. Consider your answers without the use of medication and aids (except eyeglasses) or the
               help of another person.

               A.   Do you have any of the following? Check all boxes that apply to you:

               o    Deaf or serious difficulty hearing
               o    Blind or serious difficulty seeing even when wearing glasses
               o    Missing an arm, leg, hand, or foot
               o    Paralysis: Partial or complete paralysis (any cause)
               o    Significant Disfigurement: for example, severe disfigurements caused by burns, wounds,
                    accidents, or congenital disorders
               u    Significant Mobility Impairment: for example, uses a wheelchair, scooter, walker or uses a leg
                    brace to walk
               o    Significant Psychiatric Disorder: for example, bipolar disorder, schizophrenia, PTSD, or major
                    depression
               o    Intellectual Disability (formerly described as mental retardation)
               o    Developmental Disability: for example, cerebral palsy or autism spectrum disorder
               o    Traumatic Brain Injury
               o    Dwarfism
               o    Epilepsy or other seizure disorder
               o    Other disability or serious health condition: for example, diabetes, cancer, cardiovascular
                    disease, anxiety disorder, or HIV infection; a learning disability, a speech impairment, or a hearing
                    impairment

               If you did not select one of the options above, please indicate whether.

               o    None of the conditions listed above apply to me.
               o    1 do not wish to answer questions regarding disability/health conditions.

               If you have indicated that you have one of the above conditions, you may be eligible to apply under
               Schedule A Hiring Authority. For more information, please see http://www.opm.gov/policy—data—
               oversight/disability—employment/hiring/#url=Schedule—A—Hiring—Authority .


                                 u&              +                      &9



              If an applicant checks the box for "other disability or serious health condition," the applicant will be
              taken to Section A.1.

              A.1. Other Disability or Serious Health Condition (Optional)

              You indicated that you have a disability or a serious health condition. If you are willing, please select
              any of the conditions listed below that apply to you. As explained above, your responses will not be
              shown to the panel rating the applications, to the selecting official, or to anyone else who can affect
              your application. All responses will remain private to the extent permitted by law. See the Privacy Act
              Statement below for more information.

               Please check all that apply:

                   I do not wish to specify any condition.
              C




                   Alcoholism
              O




                   Cancer
              O




                   Cardiovascular or heart disease
              0




                   Crohn‘s disease, irritable bowel syndrome, or other gastrointestinal impairment
              0




                   Depression, anxiety disorder, or other psychological disorder
              0




                   Diabetes or other metabolic disease
              0




                   Difficulty seeing even when wearing glasses
              0




                   Hearing impairment
              0




                   History of drug addiction (but not currently using illegal drugs)
              0




                   HIV Infection/AID$S or other immune disorder
              0




                   Kidney dysfunction: for example, requires dialysis
              0




                   Learning disabilities or ADHD
              0




                   Liver disease: for example, hepatitis or cirrhosis
              0




                   Lupus, fibromyalgia, rheumatoid arthritis, or other autoimmune disorder
              0




                   Morbid obesity
              0




                   Nervous system disorder: for example, migraine headaches, Parkinson‘s disease, or multiple
              c




                   sclerosis
                  Non—paralytic orthopedic impairments: for example, chronic pain, stiffness, weakness in bones or
              0




                  joints, or some loss of ability to use parts of the body
                  Orthopedic impairments or osteo—arthritis
              D




                   Pulmonary or respiratory impairment: for example, asthma, chronic bronchitis, or TB
              0




                   Sickle cell anemia, hemophilia, or other blood disease
              0




                   Speech impairment
              0




                   Spinal abnormalities: for example, spina bifida or scoliosis
              0




                   Thyroid dysfunction or other endocrine disorder
              0




                   Other. Please identify the disability/health condition, if willing:
              o




PRIVACY ACT AND PAPERWORK REDUCTION ACT STATEMENTS

 Privacy Act Statement: This Privacy Act Statement is provided pursuant to 5 U.S.C. 552a (commonly known as the
 Privacy Act of 1974). The authority for this form is 5 U.S.C. 7201, which provides that the Office of Personnel Management
 shall implement a minority recruitment program, by the Uniform Guidelines on Employee Selection Procedures, 29 C.F.R.
 Part 1607.4, which requires collection of demographic data to determine if a selection procedure has an unlawful disparate
 impact, and by Section 501 of the Rehabilitation Act of 1973, which requires federal agencies to prepare affirmative action
 plans for the hiring and advancement of people with disabilities. Data relating to an individual applicant are not provided to
 selecting officials. This form will be seen by Human Resource personnel in the Office of Personnel Management (who are
 not involved in considering an applicant for a particular job) and by Equal Employment Opportunity Commission officials
 who will receive aggregate, non—identifiable data from the Office of Personnel Management derived from this form.
 Purpose and Routine Uses: The aggregate, non—identifiable information summarizing all applicants for a position will be
 used by the Office of Personnel Management and by the Equal Employment Opportunity Commission to determine if the


                                                  72590                       Federal Register / Vol. 81, No. 203 / Thursday, October 20, 2016 / Notices




                                                  [FR Doc. 2016–25331 Filed 10–19–16; 8:45 am]            DATES: Written PRA comments should                    part of the information collection
                                                  BILLING CODE 6570–01–C                                  be submitted on or before December 19,                requirement(s). This SORN was
                                                                                                          2016. If you anticipate that you will be              published in the Federal Register on
                                                                                                          submitting comments, but find it                      April 5, 2006 (71 FR 17234, 17269).
                                                  FEDERAL COMMUNICATIONS                                  difficult to do so within the period of                  Needs and Uses: The Commission
                                                  COMMISSION                                              time allowed by this notice, you should               will submit this information collection
                                                                                                          advise the contact listed below as soon               to the Office of Management and Budget
                                                  [OMB 3060–0865]                                         as possible.                                          (OMB) as an extension after this 60 day
                                                                                                          ADDRESSES: Direct all PRA comments to                 comment period to obtain the full three-
                                                  Information Collection Being Reviewed                                                                         year clearance from them.
                                                                                                          Cathy Williams, FCC, via email PRA@
                                                  by the Federal Communications                                                                                    The purpose of this information
                                                                                                          fcc.gov and to Cathy.Williams@fcc.gov.
                                                  Commission                                                                                                    collection is to continually streamline
                                                                                                          FOR FURTHER INFORMATION CONTACT: For
                                                                                                                                                                *64498 and simplify processes for
                                                  AGENCY: Federal Communications                          additional information about the                      wireless applicants and licensees, who
                                                  Commission.                                             information collection, contact Cathy                 previously used a myriad of forms for
                                                  ACTION: Notice and request for                          Williams at (202) 418–2918.                           various wireless services and types of
                                                  comments.                                               SUPPLEMENTARY INFORMATION:                            requests, in order to provide the
                                                                                                            OMB Control No.: 3060–0865.                         Commission information that has been
                                                  SUMMARY: As part of its continuing effort                 Title: Wireless Telecommunications                  collected in separate databases, each for
                                                  to reduce paperwork burdens, and as                     Bureau Universal Licensing System                     a different group of services. Such
                                                  required by the Paperwork Reduction                     Recordkeeping and Third Party                         processes have resulted in unreliable
                                                  Act (PRA) of 1995 (44 U.S.C. 3501–                      Disclosure Requirements.                              reporting, duplicate filings for the same
                                                  3520), the Federal Communications                         Form No.: N/A.                                      licensees/applicants, and higher cost
                                                  Commission (FCC or Commission)                            Type of Review: Extension of a                      burdens to licensees/applicants. By
                                                  invites the general public and other                    currently approved collection.                        streamlining the Universal Licensing
                                                  Federal agencies to take this                             Respondents: Business or other for-                 System (ULS), the Commission
                                                  opportunity to comment on the                           profit entities, Individuals or                       eliminates the filing of duplicative
                                                  following information collections.                      households, Not-for-profit institutions,              applications for wireless carriers;
                                                  Comments are requested concerning:                      and State, Local or Tribal Government.                increases the accuracy and reliability of
                                                  Whether the proposed collection of                        Number of Respondents and                           licensing information; and enables all
                                                  information is necessary for the proper                 Responses: 62,490 respondents; 168,908                wireless applicants and licensees to file
                                                  performance of the functions of the                     responses.                                            all licensing-related applications and
                                                  Commission, including whether the                         Estimated Time per Response: .166                   other filings electronically, thus
                                                  information shall have practical utility;               hours (10 minutes)—4 hours.                           increasing the speed and efficiency of
                                                  the accuracy of the Commission’s                          Frequency of Response:                              the application process. The ULS also
                                                  burden estimate; ways to enhance the                    Recordkeeping and third-party                         benefits wireless applicants/licensees by
                                                  quality, utility, and clarity of the                    disclosure requirements; on occasion                  reducing the cost of preparing
                                                  information collected; ways to minimize                 reporting requirement.                                applications, and speeds up the
                                                  the burden of the collection of                           Obligation To Respond: Required to                  licensing process in that the
                                                  information on the respondents,                         obtain or retain benefits. The statutory              Commission can introduce new entrants
                                                  including the use of automated                          authority for this collection is contained            more quickly into this already
                                                  collection techniques or other forms of                 in 47 U.S.C. 154(i) and 309(j).                       competitive industry. Finally, ULS
                                                  information technology; and ways to                       Total Annual Burden: 88,927 hours.                  enhances the availability of licensing
                                                  further reduce the information                            Annual Cost Burden: None.                           information to the public, which has
                                                  collection burden on small business                       Privacy Act Impact Assessment: Yes.                 access to all publicly available wireless
                                                  concerns with fewer than 25 employees.                    Nature and Extent of Confidentiality:               licensing information on-line, including
                                                  The FCC may not conduct or sponsor a                    This information collection contains
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                                                                                maps depicting a licensee’s geographic
                                                  collection of information unless it                     personally identifiable information (PII).            service area.
                                                  displays a currently valid OMB control                  The FCC has a system of records notice
                                                  number. No person shall be subject to                   (SORN), FCC/WTB–1, ‘‘Wireless                         Federal Communications Commission.
                                                  any penalty for failing to comply with                  Services Licensing Records,’’ to cover                Marlene H. Dortch,
                                                  a collection of information subject to the              the collection, maintenance, use(s), and              Secretary, Office of the Secretary.
                                                  PRA that does not display a valid OMB                   destruction of this PII, which                        [FR Doc. 2016–25363 Filed 10–19–16; 8:45 am]
                                                                                                                                                                                                               EN20OC16.003</GPH>




                                                  control number.                                         respondents may provide to the FCC as                 BILLING CODE 6712–01–P




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Document Created: 2016-10-21 09:59:05
Document Modified: 2016-10-21 09:59:05
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of Information Collection--Extension without Change: Demographic Information on Applicants for Federal Employment.
DatesWritten comments on this notice must be submitted on or before December 19, 2016.
ContactJamie Price, Federal Sector Programs, Office of Federal Operations, 131 M Street NE., Washington, DC 20507, (202) 663-4484 (voice); (202) 663-4593 (TTY).
FR Citation81 FR 72585 

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