Combined Federal Campaign

Forms and Documents

Document Name	Status
Form OPM-1647A Combined Federal Campaign Form and Instruction	Unchanged
Form OPM Form 1647-E Family Youth and Support Activities Application Form and Instruction	Unchanged
Justification Statement (6-16).doc Supporting Statement A	2017-11-08
2016 CFC National International Independent Organization and Federation Member Application (OPM Form 1647-A).pdf Supplementary Document	2016-10-04
2016 CFC National International Federation Application (OPM Form 1647-B).pdf Supplementary Document	2016-10-04
2016 CFC Family Support and Youth Activities Application (OPM Form 1647-E).pdf Supplementary Document	2016-10-04

IC Document Collections

IC ID	Document Title	Status
42892	Combined Federal Campaign Form and Instruction	Unchanged
190418	Family Youth and Support Activities Application Form and Instruction	Unchanged

ICR Details

OMB Control No: 3206-0131	ICR Reference No: 201711-3206-004
Status: Historical Inactive	Previous ICR Reference No: 201610-3206-001
Agency/Subagency: OPM	Agency Tracking No:
Title: Combined Federal Campaign
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 11/08/2017
	Date Received in OIRA: 11/08/2017
Terms of Clearance: This collection is withdrawn at the request of the agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The CFC regulations set forth at 5 CFR § 950.204(b)(1) states: An organization must demonstrate to the satisfaction of the LFCC of the appropriate local campaign, that it has a substantial local presence in the geographical area covered by the local campaign, a substantial local presence in the geographical area covered by an adjacent local campaign, or substantial statewide presence. Eligibility to participate in an adjoining campaign on the basis of adjacency or statewide presence may be discontinued upon implementation of appropriate electronic technology that allows removal of the need for geographic restrictions on giving as determined by the [U.S. Office of Personnel Management] Director. OPM Director Katherine Archuleta has approved the implementation of 'universal giving' as of the 2014 CFC solicitation period. Universal giving allows donors to access an online search of all 24,000+ participating charities and make a pledge regardless of the geographic locations of the donor and the charity whereas, previously, donors could only give to the charities participating in their local campaign. OPM requests approval to make a non- substantive change to the 2015 CFC Local Independent Organization and Local Federation Applications (OPM Forms 1647-C and D) to remove references to adjacent and statewide presence options. Copies of the revised documents are enclosed. This change does not impact a charity's ability to participate in the CFC. However, it does provide the following benefits: • It eliminates 47% of the applications that were submitted to local CFC regions in 2013, totaling 8,188 applications. • It reduces the risk of improper eligibility decision-making by various local offices that each reviewed the same charity application and; • It reduces the workload of the Federal employees who were required to review the same application submitted to multiple CFC regions.

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Authorizing Statute(s): EO: EO 12353 Name/Subject of EO: Combined Federal Campaigns
  

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 47	03/16/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 164	08/24/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Family Youth and Support Activities Application	OPM Form 1647-E, 1647-E	2010 CFC FYSA Application ,   CFC FSYA
Combined Federal Campaign	OPM-1647A, OPM 1647B, 1647-B, 1647-A	National Inernational Independent Organization Application ,   National International Federation Application ,   National International Independent ,   National International Federation

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Change to online process actually reduces burden.

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Annual Cost to Federal Government: $64,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 11/08/2017

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