PRIVACY ACT STATEMENT:
Executive Order 13318, PMF Program, authorizes solicitation of this
information, which will be used primarily to select finalists for
participation in the PMF Program. The information may also be used
to publicize your selection for and participation in the PMF Program,
and may also be furnished to the agency wherein employed in hard copy
and electronic formats. Names and home addresses may be released
in hard copy and electronic formats to other PMF Program participants
such as Federal Agencies and alumni to foster interaction and
communications.
The information we collect by using your Social Security Number (SSN)
will be used for employment purposes and also for studies and statistics
that will not identify you. Information we have about you may also
be given to Federal, State and local agencies for checking on violations
of law or for other lawful purposes. We may send your name and
address to State and local government agencies, Congressional and other
public offices, and public international organizations, if they request
names of people to consider for employment. We may also notify
your school placement office if you are selected for a Federal
job. Giving us your SSN or any of the other information is
voluntary. However, we cannot process your application, which is
the first step toward getting a job, if you do not give us the
information we request. In addition, incomplete addresses, invalid
email addresses, and ZIP Codes(s) will slow processing. We may
confirm information from your records with prospective nonfederal
employers concerning tenure of employment, civil service status, length
of service, and date and nature of action for separation as shown on
personnel action forms of specifically identified individuals. We
must have your SSN to identify your records because other people may
have the same name and birth date. The PMF Program Office may also
use your SSN to make requests for information about you from employers,
schools, banks, and others who know you, but only as allowed by law or
Presidential directive. We request your SSN under the authority of
Executive Order 9397 (November 22, 1943). This Executive order
allows us to collect SSN's to uniquely identify you.
PUBLIC BURDEN STATEMENT:
We estimate the public reporting burden for this collection will be
approximately 10 minutes for completing this nomination form, including
time for reviewing instructions, gathering data, and obtaining a
nomination. Send comments regarding the burden statement or any
other aspect of the collection of information, including suggestions for
reducing this burden to: U.S. Office of Personnel Management,
Forms Officer (3206-0082), Washington DC 20415-7900. The OMB
number, 3206-0082, is currently valid. The U.S. Office of
Personnel Management may not collect this information, and you are not
required to respond, unless this number is displayed. Do NOT mail
the nomination form to this address.