Executive Branch Confidential Financial Disclosure Report

Forms and Documents

Document Name	Status
Form OGE Form 450 Executive Branch Confidential Financial Disclosure Report Form and Instruction	Modified
450 PRA Supporting Statement 2016 (ROCIS).pdf Supporting Statement A	2017-01-06

IC Document Collections

IC ID	Document Title	Status
33786	Executive Branch Confidential Financial Disclosure Report Form and Instruction	Modified

ICR Details

OMB Control No: 3209-0006	ICR Reference No: 201611-3209-001
Status: Historical Active	Previous ICR Reference No: 201311-3209-001
Agency/Subagency: OGE	Agency Tracking No: OGE Form 450
Title: Executive Branch Confidential Financial Disclosure Report
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: 03/16/2017
	Date Received in OIRA: 01/06/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved	03/31/2017
Responses	24,640	0	19,847
Time Burden (Hours)	24,640	0	19,847
Cost Burden (Dollars)	1,700,160	0	1,369,443

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Abstract: The OGE Form 450 serves as the uniform executive branch report form for the confidential financial disclosure system as set forth in OGE's branchwide regulation at subpart I of 5 C.F.R. part 2634 for both the designated regular employees and special Government employees.

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Authorizing Statute(s): US Code: 5 USC app.sec. 107(a) Name of Law: Ethics in Government Act of 1978
   EO: EO 12674 Name/Subject of EO: section 201(d)
   EO: EO 12731 Name/Subject of EO: null
  

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:
	81 FR 70113	10/11/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 95998	12/29/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Executive Branch Confidential Financial Disclosure Report	OGE Form 450	Executive Branch Confidential Financial Disclosure Report

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ICR Summary 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	24,640	19,847	0	0	4,793	0
Annual Time Burden (Hours)	24,640	19,847	0	0	4,793	0
Annual Cost Burden (Dollars)	1,700,160	1,369,443	0	0	330,717	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: No

Burden Reduction Due to:

Short Statement: We recalculated estimated number of filers based on prior experience.

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Annual Cost to Federal Government: $48,841,894

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: 01/06/2017

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