Information Collection

Senior Executive Officers and Highly Compensated Employees Disclosure

IC 189541 under ICR 200905-1505-001 · OMB 1505-0219.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0219 can be found here:

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Information Collection (IC) Details

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IC Title:	Senior Executive Officers and Highly Compensated Employees Disclosure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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