Information Collection

Substitute Confidential Employment and Financial Disclosure

IC 42238 under ICR 201008-3002-001 · OMB 3002-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3002-0003 can be found here:

Documents and Forms

Document Name Document Type
Form ACUS Form 1 Substitute Confidential Employment and Financial Disclosure Form
ACUS Form 1 ACUS Public Member Confidential Employment and Financial Member Financial Disclosure Form 9-15-2010.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Substitute Confidential Employment and Financial Disclosure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ACUS Form 1	ACUS Public Member Confidential Employment and Financial Disclosure Report	Member Financial Disclosure Form 9-15-2010.doc		Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	540	540	-100	100
Annual IC Time Burden (Hours)	135	135	-29	29
Annual IC Cost Burden (Dollars)	0	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.