Combined Federal Campaign Results Form

Forms and Documents

Document Name	Status
Form OPM 1417 Combined Federal Campaign Results Form Form and Instruction	Modified
Supporting Statement.DOC Supporting Statement A	2008-08-27

IC Document Collections

IC ID	Document Title	Status
33675	Combined Federal Campaign Results Form Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0193	ICR Reference No: 200808-3206-001
Status: Historical Active	Previous ICR Reference No: 200503-3206-006
Agency/Subagency: OPM	Agency Tracking No:
Title: Combined Federal Campaign Results Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/22/2008
	Date Received in OIRA: 08/27/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	36 Months From Approved	10/31/2008
Responses	247	0	320
Time Burden (Hours)	124	0	107
Cost Burden (Dollars)	0	0	0

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Abstract: In accordance with E. O. 12353 and 5 CFR 950, the Office of Personnel Management collects information from 247 local Combined Federal Campaigns (CFC) to verify national campaign results.

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Authorizing Statute(s): EO: EO 12404 Name/Subject of EO: Campaign Fundraising amended
   EO: EO 12353 Name/Subject of EO: Campaign Fundraising
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 7613	02/08/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 46650	08/11/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

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

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ICR Summary of Burden

	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	247	320	0	-73	0	0
Annual Time Burden (Hours)	124	107	0	17	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Number of respondents decreased based on actual use, however the time to complete was calculated incorrectly on the last clearance request. This corrects the time to 30 minutes and increases the annual burden by 17 hours.

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Annual Cost to Federal Government: $65,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/27/2008

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