Information Collection

Combined Federal Campaigns

IC 223838 under ICR 201610-3206-003 · OMB 3206-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPM 1647-A Combined Federal Campaigns	Form and Instruction
OPM 1647-A National International Independent Organization OPM Form 1647-A (CLEAN VERSION).docx	Form and Instruction
OPM 1647-B National International Federation OPM Form 1647-B (CLEAN VERSION).docx	Form and Instruction
OPM 1647-E CFC FSYA OPM Form 1647-E (CLEAN VERSION).docx	Form and Instruction
Justification Statement (6-16).doc Justification Statement A	IC Document

IC Title:

Combined Federal Campaigns

Agency IC Tracking Number:

OPM 1647

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 950

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM 1647-A	National International Independent Organization	OPM Form 1647-A (CLEAN VERSION).docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OPM 1647-B	National International Federation	OPM Form 1647-B (CLEAN VERSION).docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OPM 1647-E	CFC FSYA	OPM Form 1647-E (CLEAN VERSION).docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,500	20,500
Annual IC Time Burden (Hours)	33,886,500	33,886,500
Annual IC Cost Burden (Dollars)	2,152,500	2,152,500

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Statement A	Justification Statement (6-16).doc	10/06/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.