OMB
.report
Search
Personal Financial Statement
Personal Financial Statement
OMB: 3420-0035
IC ID: 213862
OMB.report
OPIC
OMB 3420-0035
ICR 201712-3420-001
IC 213862
( )
Documents and Forms
Document Name
Document Type
Form OPIC-254
Personal Financial Statement
Form
OPIC-254 Personal Financial Statement
Personal Financial Statement Form 12-1-17 Clean Final.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Personal Financial Statement
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OPIC-254
Personal Financial Statement
Personal Financial Statement Form 12-1-17 Clean Final.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
International Development and Humanitarian Aid
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
75
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
75
0
0
0
0
75
Annual IC Time Burden (Hours)
75
0
0
0
0
75
Annual IC Cost Burden (Dollars)
5,625
0
0
0
0
5,625
Documents for IC
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.
