Combined Federal Campaign Results Form

ICR 200503-3206-006

OMB: 3206-0193

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
33675 Migrated
ICR Details
3206-0193 200503-3206-006
Historical Active 200411-3206-004
OPM
Combined Federal Campaign Results Form
Revision of a currently approved collection   No
Regular
Approved without change 05/05/2005
Retrieve Notice of Action (NOA) 03/03/2005
  Inventory as of this Action Requested Previously Approved
05/31/2008 05/31/2008 05/31/2005
320 0 360
107 0 180
0 0 0

In accordance with E. O. 12353 and 5 CFR 950, the Office of Personnel Management collects information from 320 local Combined Federal Campaigns (CFC) to verify national campaign results.

None
None


No

1
IC Title Form No. Form Name
Combined Federal Campaign Results Form OPM-1417

  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 320 360 0 0 -40 0
Annual Time Burden (Hours) 107 180 0 0 -73 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.
03/03/2005


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