Substitute Confidential Employment and Financial Disclosure

Substitute Confidential Employment and Financial Disclosure Report

Documents and Forms

Document Name Document Type
Form ACUS Form 1W Substitute Confidential Employment and Financial Disclosure Form
ACUS Form 1W Substitute Non-government Member Confidential Employment Financial Disclosure--Web Format 5-14-2014.pdf Form
ACUS Form 1 Substitute Non-government Member Confidential Employment Member Financial Disclosure Form 5-1-2014.pdf Form

Information Collection (IC) Details

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 1W	Substitute Non-government Member Confidential Employment and Financial Disclosure Report	Financial Disclosure--Web Format 5-14-2014.pdf		Yes	Yes	Fillable Fileable
Form	ACUS Form 1	Substitute Non-government Member Confidential Employment and Financial Disclosure Report	Member Financial Disclosure Form 5-1-2014.pdf		Yes	No	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: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	180	-270	450
Annual IC Time Burden (Hours)	45	-68	113
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.