Combined Federal Campaign

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form OPM-1647A Combined Federal Campaign	Form and Instruction	Unchanged	Repair queued
Form OPM Form 1647-E Family Youth and Support Activities Application	Form and Instruction	Unchanged	Available
2011 FSYA Application - Markup.Doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-28	Available
2011 Local Federation Application - Markup.Doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-28	Available
2011 Local Independent Application - Markup.Doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-28	Available
2011 National Federation Application - Markup.Doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-28	Available
2011 Local Independent Application - Markup.Doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-28	Available
2011 Application Revisions.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-28	Available
2010 National Independent Application - MARKUP.DOC	Supplementary Document	Uploaded 2009-11-12	Available
2010 National Federation Application - MARKUP.DOC	Supplementary Document	Uploaded 2009-11-12	Available
2010 Local Independent Application - MARKUP.DOC	Supplementary Document	Uploaded 2009-11-12	Available
2010 Local Federation Application - MARKUP.DOC	Supplementary Document	Uploaded 2009-11-12	Available
Federal Register Notice-30 Day Approval.pdf	Supplementary Document	Uploaded 2009-08-27	Available
Justification Statement (8-09).doc	Supporting Statement A	Uploaded 2009-08-27	Available
Federal Register Notice (June 5, 2009).pdf	Supplementary Document	Uploaded 2009-07-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42892	Combined Federal Campaign	Form and Instruction	Unchanged
190418	Family Youth and Support Activities Application	Form and Instruction	Unchanged

ICR Details

OMB Control No: 3206-0131	ICR Reference No: 201010-3206-009
Status: Historical Active	Previous ICR Reference No: 200907-3206-002
Agency/Subagency: OPM	Agency Tracking No:
Title: Combined Federal Campaign
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2011
	Date Received in OIRA: 10/29/2010
Terms of Clearance:

table that charts list comparision

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

---

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. OPM has made non-substantive changes to the 2011 CFC Applications: 2011 CFC National Independent Application (1647-A), 2011 CFC National Federation Application (1647-B), 2011 CFC Local Independent Application (1647-C), 2011 CFC Local Federation Application (1647-D), and 2011 CFC FSYA Application (1647-E). The revisions include date changes (e.g. 2010 to 2011), the removal of instructions related to an IRS Form that is no longer accepted, and, in the case of 1647-C only, an extra line to denote a charity's service address if it is different from its administrative office address. The changes do not include the addition or removal of any questions, and the burden remains unchanged. The revised forms are included in the Supplementary Document section.

---

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

Citations for New Statutory Requirements: None

---

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

---

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

---

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

table that charts list of burden

IC Title	Form No.	Form Name
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
Family Youth and Support Activities Application	OPM Form 1647-E	2010 CFC FYSA Application

---

ICR Summary of Burden

table that charts list 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	20,000	0	0	0	0
Annual Time Burden (Hours)	59,600	59,600	0	0	0	0
Annual Cost Burden (Dollars)	4,000	4,000	0	0	0	0

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

Burden Increase Due to:

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.

---

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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: 10/29/2010

---