Combined Federal Campaign Results Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0193 can be found here:

Documents and Forms

Document Name Document Type
Form OPM 1417 Combined Federal Campaign Results Form Form and Instruction
OPM 1417 CFC Campaign Results CFC Campaign Information System Online OPM Form 1417 Screenshots.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Combined Federal Campaign Results Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 950

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM 1417	CFC Campaign Results	CFC Campaign Information System Online OPM Form 1417 Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 247	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	247	-73	320
Annual IC Time Burden (Hours)	124	17	107
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.