Information Collection

Office of the Secretary of Defense (OSD) Confidential Conflict-of-Interest Statement for Advisory Committee Members

IC 219594 under ICR 201601-0704-001 · OMB 0704-0551.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0551 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SD Form X682 Office of the Secretary of Defense (OSD) Confidential Conflict-of-Interest Statement for Advisory Committee Members	Form and Instruction
SD Form X682 Office of the Secretary of Defense (OSD) Confidential Co SD Form X682, 12-28-2015 (rev 6).PDF	Form and Instruction

IC Title:

Office of the Secretary of Defense (OSD) Confidential Conflict-of-Interest Statement for Advisory Committee Members

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	SD Form X682	Office of the Secretary of Defense (OSD) Confidential Conflict-of-Interest Statement for Advisory Committee Members	SD Form X682, 12-28-2015 (rev 6).PDF		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 125

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	906	906

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.