Combined Federal Campaign Results Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form OPM 1417 Combined Federal Campaign Results Form	Form and Instruction	Modified	Available
2014-26468 30 Day Notice.pdf	Supplementary Document	Uploaded 2014-11-17	Available
2014-16661 60 Day Notice.pdf	Supplementary Document	Uploaded 2014-11-17	Available
Supporting Statement.docx	Supporting Statement A	Uploaded 2014-11-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33675	Combined Federal Campaign Results Form	Form and Instruction	Modified

ICR Details

OMB Control No: 3206-0193	ICR Reference No: 201411-3206-001
Status: Historical Active	Previous ICR Reference No: 201109-3206-005
Agency/Subagency: OPM	Agency Tracking No:
Title: Combined Federal Campaign Results Form
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: 12/22/2014
	Date Received in OIRA: 11/17/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2017	36 Months From Approved	12/31/2014
Responses	151	0	247
Time Burden (Hours)	101	0	124
Cost Burden (Dollars)	0	0	0

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Abstract: In accordance with E. O. 12353 and 5 CFR 950, the Office of Personnel Management collects information from 247 local Combined Federal Campaigns (CFC) to verify national campaign results.

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Authorizing Statute(s): EO: EO 12353 Name/Subject of EO: Campaign Fundraising
   EO: EO 12404 Name/Subject of EO: Campaign Fundraising amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 41600	07/16/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 66421	11/07/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Combined Federal Campaign Results Form	OPM 1417	CFC Campaign Results

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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	151	247	0	-96	0	0
Annual Time Burden (Hours)	101	124	0	-23	0	0
Annual Cost Burden (Dollars)	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden reduction is the result of campaign mergers. The most recent submission, in 2013, covered 163 PCFOs versus the current 151. This decrease is the result of the merger and the subsequent reduction in the number of individual PCFOs to the present number of 151.

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Annual Cost to Federal Government: $65,500

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

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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: 11/17/2014

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