Information Collection

Combined Federal Campaign Results Form

IC 33675 under ICR 201411-3206-001 · OMB 3206-0193.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPM 1417 Combined Federal Campaign Results Form	Form and Instruction
OPM 1417 CFC Campaign Results OPM_Online_Form_1417.PDF	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 950

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM 1417	CFC Campaign Results	OPM_Online_Form_1417.PDF		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 151

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	151	-96	247
Annual IC Time Burden (Hours)	101	-23	124
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.