Financial Disclosure Form

ICR 200502-3095-001

OMB: 3095-0058

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
32570 Migrated
ICR Details
3095-0058 200502-3095-001
Historical Active 200402-3095-001
NARA
Financial Disclosure Form
Extension without change of a currently approved collection   No
Regular
Approved with change 04/25/2005
Retrieve Notice of Action (NOA) 02/17/2005
When approval for this form is sought next year, NARA/ISOO will p rovide: - an evaluation of the usability of the form. The evaluation sho uld include agency feedback, including the Office of Government E thics - A government-wide governance structure for the use, ongoing eva luation and update, education, and dissemination of the form. It should take into account the work of the Office of Personnel Man agement to standardize related forms, as well as implementation o f the Intel Reform Bill.
  Inventory as of this Action Requested Previously Approved
06/30/2006 06/30/2006 04/30/2005
25,897 0 25,897
51,794 0 51,794
0 0 0

This form is used to make personnel security determinations, including whether to grant a security clearance, to allow access to classified information, sensitive areas, and equipment; or to permit assignment to sensitive national security positions.

None
None


No

1
IC Title Form No. Form Name
Financial Disclosure Form SF-714

  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 25,897 25,897 0 0 0 0
Annual Time Burden (Hours) 51,794 51,794 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/17/2005


© 2024 OMB.report | Privacy Policy