3234 Federal Register / Vol. 77, No. 14 / Monday, January 23, 2012 / Notices 

DATES: Consideration will be given to all 

comments received by March 23, 2012. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

Suite 02G09, East Tower, 2nd Floor, 

Alexandria, VA 22350–3100. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http:// 

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection, or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to the Office of the Under 

Secretary of Defense (Personnel and 

Readiness), Department of Defense 

Education Activity (Human Resources 

Regional Center), ATTN: Patti Ross, 

4040 North Fairfax Drive, Arlington, VA 

22203 or call at (703) 588–3915. 

Title, and OMB Control Number: 

Department of Defense Dependents 

Schools (DoDDS) Employment 

Opportunities for Educators; DoDEA 

Forms 5010, 5011, and 5013 and OMB 

Number 0704–0370. DoDEA Form 5012 

is being cancelled. 

Needs and Uses: This information 

collection requirement is necessary to 

obtain information on prospective 

applicants for educator positions with 

the Department of Defense Dependents 

Schools. The information is used to 

verify employment history of educator 

applicants and to determine creditable 

previous experience for pay-setting 

purposes on candidates selected for 

positions. In addition, the information is 

used to ensure that those individuals 

selected for employment with the 

Department of Defense Dependents 

Schools possess the abilities which give 

promise of outstanding success under 

the unusual circumstances they will 

find working abroad. Completion of all 

forms is entirely voluntary. 

Affected Public: Individuals or 

households. 

Annual Burden Hours: 4,943. 

Number of Respondents: 29,658. 

Responses per Respondent: 1. 

Average Burden per Response: 10 

minutes. 

Frequency: Annually. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

The primary objective of the 

information collection is to screen 

applicants for educational qualification 

and employment eligibility, to obtain 

pertinent evaluation information about 

an applicant to assist management in 

making a hiring decision, and to obtain 

applicant consent to obtain personal 

information from former employer about 

applicants’ employment. 

The forms associated with this data 

collection include: 

Department of Defense Dependents 

Schools Supplemental Application for 

Overseas Employment (DoDEA Form 

5010). The primary objective of this 

voluntary form is to ascertain 

applicants’ eligibility for educator 

positions. 

Department of Defense Dependents 

Schools Professional Evaluation 

(DoDEA Form 5011). This form is 

provided to officials who served in 

managerial and supervisory positions 

above the applicant as a means of 

verifying abilities and qualifications of 

applicants for educator positions. 

Department of Defense Dependents 

Schools Verification of Professional 

Educator Employment for Salary Rating 

Purposes (DoDEA Form 5013). The 

purpose of this voluntary form is to 

verify employment history of educator 

applicants and to determine creditable 

previous experience for pay-setting 

purposes. 

The data collected on the DoDEA 

Forms 5010, 5011, and 5013 is covered 

by the DoDEA System of Records Notice 

at: http://dpclo.defense.gov/privacy/ 

SORN/govt/OPMGOVT-5.html, 

‘‘Department of Defense Recruiting, 

Examining and Placement Records’’ and 

http://dpclo.defense.gov/privacy/SORN/ 

govt/OPMGOVT-1.html ‘‘General 

Personnel Records.’’ The paper forms 

and electronic data systems containing 

the sponsor and dependent personally 

identifying information are secured in 

accordance with the requirements of 

Federal law and implementing DoD 

regulations. 

Dated: January 17, 2012. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2012–1138 Filed 1–20–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DOD–2012–OS–0003] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Under Secretary of 

Defense (Personnel and Readiness), 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance with Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the Office of the 

Under Secretary of Defense (Personnel 

and Readiness) announces the following 

proposed reinstatement of a public 

information collection and seeks public 

comment on the provisions thereof. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of burden of the 

proposed information collection; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the information collection on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

DATES: Consideration will be given to all 

comments received by March 23, 2012. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

Federal eRulemaking portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

Mail: Federal Docket Management 

Systems Office, 4800 Mark Center Drive, 

Suite 02G09, East Tower, 2nd floor, 

Alexandria, VA 22350–3100. 

Instructions: All submissions received 

must include the agency name, docket 

number, and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http:// 

www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to the Office of the Under 

Secretary of Defense (Personnel and 

Readiness), Department of Defense 


TKELLEY on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 14 / Monday, January 23, 2012 / Notices 3235 

Education Activity (DoDEA), 4040 N. 

Fairfax Drive, 9th Floor, Arlington, VA 

22203, ATTN: Dr. Sandra D. Embler or 

call (703) 588–3175. 

Title, Associated Form and OMB 

Control Number: ‘‘Department of 

Defense Education Activity (DoDEA) 

Non-Sponsored Research Program,’’ 

DoDEA Form 2071.3–F1, OMB 

CONTROL NUMBER 0704–0457. 

Needs and Uses: The Department of 

Defense Education Activity (DoDEA) is 

a DoD field activity operating under the 

direction, authority, and control of the 

Deputy Under Secretary of Defense, 

Military Community and Family Policy. 

The DoDEA operates 196 schools in 14 

districts located in 12 foreign countries, 

seven states, Guam, and Puerto Rico. 

The DoDEA receives requests from 

researchers to conduct non-DoDEA 

sponsored research studies in DoDEA 

schools, districts, and/or areas. To 

review the proposed research requests, 

DoDEA is seeking renewal for the 

DoDEA Administrative Instruction 

2071.3 (DoDEA AI 2071.3) that includes 

DoDEA Form 2071.3–F1, ‘‘Research 

Study Request.’’ The DoDEA ‘‘Research 

Study Request’’ collects information 

about the researcher, the research 

project, audience, timeline, and the 

statistical analyses that will be 

conducted during the proposed research 

study. 

This information is needed to ensure 

that the proposed non-DoDEA 

sponsored research does not unduly 

interfere with the classroom 

instructional process or the regular 

operations of the school, district, and/or 

areas. 

Affected Public: Federal government; 

individuals or Households. 

Annual Burden Hours: 30 hours. 

Number of Respondents: 30. 

Responses per Respondent: 1. 

Average Burden per Response: 1 hour. 

Frequency: Once. 

SUPPLEMENTARY INFORMATION: 

Summary of Information Collection 

The DoDEA Administrative 

Instruction 2071.3 (DoDEA AI 2071.3) 

follows the DoD Directive 3216.2, 

‘‘Protection of Human Subjects and 

Adherence to Ethical Standards in DoDSupported Research,’’ March 25, 2002, 

which states that ‘‘The rights and 

welfare of human subjects in research 

supported or conducted by the DoD 

Components shall be protected. This 

protection encompasses basic respect 

for persons, beneficence, and justice in 

the selection of subjects.’’ To ensure that 

all non-DoDEA sponsored research 

conducted in the DoDEA school system 

protects the dignity, well-being, and 

confidentiality of any individual(s) 

involved in the research, including the 

rights guaranteed legally and 

constitutionally and by DoDEA policies, 

DoDEA created the DoDEA Form 

2071.3–F1, ‘‘Research Study Request’’ 

that collects data that are used to review 

the proposed research study. 

The ‘‘Research Study Request’’ is 

required from individuals or 

organizations who wish to propose data 

collection activities and/or research 

studies not sponsored by DoDEA, that 

involve DoDEA school personnel, 

school facilities, sponsors, students, 

and/or data. This documentation is 

required to show that the research does 

not unduly interfere with the classroom 

instructional process or the regular 

operations of the school, district, and/or 

areas. Information collected on the 

DoDEA Form 2071.3–F1 ‘‘Research 

Study Request’’ includes the 

researcher’s name, address, telephone 

number, email address, FAX number (if 

available), school affiliation (if 

applicable), the study title, an abstract 

of the proposed study, an explanation 

on how the research study (1) is aligned 

with the DoDEA Community Strategic 

Plan, and (2) the impact of the study in 

the researcher’s field of study, the major 

hypothesis(es) or question(s) to be 

tested, the population and/or sample to 

be studied, a description and copy of 

instruments, other data collection 

activities, the timetable for the study, 

and the statistical or other analysis 

techniques to be used during the study. 

Dated: January 17, 2012. 

Aaron Siegel, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2012–1141 Filed 1–20–12; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DOD–2012–OS–0006] 

Proposed Collection; Comment 

Request 

AGENCY: Office of the Under Secretary of 

Defense (Personnel and Readiness), 

DoD. 

ACTION: Notice. 

SUMMARY: In compliance with Section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the Office of the 

Under Secretary of Defense (Personnel 

and Readiness) announces the following 

proposed reinstatement of a public 

information collection and seeks public 

comment on the provisions thereof. 

Comments are invited on: (a) Whether 

the proposed collection of information 

is necessary for the proper performance 

of the functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of burden of the 

proposed information collection; (c) 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the information collection on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

DATES: Consideration will be given to all 

comments received by March 23, 2012. 

ADDRESSES: You may submit comments, 

identified by docket number and title, 

by any of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, 4800 Mark Center Drive, 

Suite 02G09, East Tower, 2nd Floor, 

Alexandria, VA 22350–3100. 

Instructions: All submissions received 

must include the agency name, docket 

number and title for this Federal 

Register document. The general policy 

for comments and other submissions 

from members of the public is to make 

these submissions available for public 

viewing on the Internet at http://www.

regulations.gov as they are received 

without change, including any personal 

identifiers or contact information. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on this 

proposed information collection or to 

obtain a copy of the proposal and 

associated collection instruments, 

please write to the Office of the Under 

Secretary of Defense (Personnel and 

Readiness) (Military Personnel Policy)/ 

Accession Policy, ATTN: Major Justin 

DeVantier, or call (703) 695–5527. 

Title, Associated Form, and OMB 

Control Number: Request for Reference, 

DD Form 370, OMB Control Number: 

0704–0167. 

Needs and Uses: DD Form 370 is used 

by recruiters to obtain reference 

information on applicants who have 

admitted to committing a civil or 

criminal offense. The respondents may 

provide information that would allow 

the applicant to be considered for a 

waiver and, therefore, continue with the 

application process. 

Affected Public: State, Local or Tribal 

Government. 

Annual Burden Hours: 4,175 hours. 

Number of Respondents: 25,000. 

Responses per Respondent: 1. 

Average Burden per Response: .167 

hours. 

Frequency: On occasion. 

SUPPLEMENTARY INFORMATION: 


TKELLEY on DSK3SPTVN1PROD with NOTICES