Combined Federal Campaign

Forms and Documents

Document Name	Status
Form OPM-1647A Combined Federal Campaign Form and Instruction	Modified
Form OPM Form 1647-E Family Youth and Support Activities Application Form and Instruction	New
2010 National Independent Application - MARKUP.DOC Supplementary Document	2009-11-12
2010 National Federation Application - MARKUP.DOC Supplementary Document	2009-11-12
2010 Local Independent Application - MARKUP.DOC Supplementary Document	2009-11-12
2010 Local Federation Application - MARKUP.DOC Supplementary Document	2009-11-12
Federal Register Notice-30 Day Approval.pdf Supplementary Document	2009-08-27
Justification Statement (8-09).doc Supporting Statement A	2009-08-27
Federal Register Notice (June 5, 2009).pdf Supplementary Document	2009-07-23

IC Document Collections

IC ID	Document Title	Status
42892	Combined Federal Campaign Form and Instruction	Modified
190418	Family Youth and Support Activities Application Form and Instruction	New

ICR Details

OMB Control No: 3206-0131	ICR Reference No: 200907-3206-002
Status: Historical Active	Previous ICR Reference No: 200711-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Combined Federal Campaign
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: 11/13/2009
	Date Received in OIRA: 09/02/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2012	36 Months From Approved	11/30/2009
Responses	20,000	0	2,500
Time Burden (Hours)	59,600	0	7,500
Cost Burden (Dollars)	4,000	0	0

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Abstract: In accordance with E.O. 12353, Public Law 102-393, and 5 CFR Part 950, required information is collected from 501(c)(3) non-profit charitable organizations that apply on an annual basis for participation in the Combined Federal Campaign. The information gathered is reviewed to determine eligibility in the program.

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Authorizing Statute(s): EO: EO 12353 Name/Subject of EO: Combined Federal Campaigns
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3206-AL05	Final or interim final rulemaking	71 FR 223	11/20/2006

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 27055	06/05/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 39717	08/07/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Family Youth and Support Activities Application	OPM Form 1647-E	2010 CFC FYSA Application
Combined Federal Campaign	OPM 1647B, OPM 1647D, OPM-1647A, OPM 1647C	National Inernational Independent Organization Application ,   National International Federation Application ,   Local Independent Application ,   Local Federation Application

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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	20,000	2,500	0	17,500	0	0
Annual Time Burden (Hours)	59,600	7,500	0	52,100	0	0
Annual Cost Burden (Dollars)	4,000	0	0	4,000	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: The Office of Personnel Management (OPM) has centralized the process of verifying the 501(c)(3) tax-exempt status of applicant charities, which had been handled primarily by more than 200 local CFC offices throughout the United States, in response to a recommendation from the Government Accountability Office. Previous figures were provided based on estimates from those offices. Current figures are based on actual data processed by OPM.

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Annual Cost to Federal Government: $64,000

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)? No

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: 09/02/2009

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