Information Collection

Combined Federal Campaign

IC 237705 under ICR 201909-3206-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 1647 A Combined Federal Campaign	Form and Instruction
OPM Form 1647 A Independent Members of Federations OPM Form 1647-A - NO REV DATE.PDF	Form and Instruction
OPM Form 1647 B Federations Application OPM Form 1647-B - NO REV DATE.PDF	Form and Instruction
OPM Form 1647 E Family Support and Youth/Activities Program OPM Form 1647-E - NO REV DATE.PDF	Form and Instruction
Combined Federal Campaign Privacy Act Statement.docx CFC Privacy Act Statement	IC Document

IC Title:

Combined Federal Campaign

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 Form 1647 A	Independent Members of Federations	OPM Form 1647-A - NO REV DATE.PDF	Yes	Yes	Fillable Fileable
Form and Instruction	OPM Form 1647 B	Federations Application	OPM Form 1647-B - NO REV DATE.PDF	Yes	Yes	Fillable Printable
Form and Instruction	OPM Form 1647 E	Family Support and Youth/Activities Program	OPM Form 1647-E - NO REV DATE.PDF	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: OPM/Central 20 National CFC System

FR Citation: 82 FR 57484

Number of Respondents: 8,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	1,066,667	1,066,667
Annual IC Cost Burden (Dollars)	172,000	172,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CFC Privacy Act Statement	Combined Federal Campaign Privacy Act Statement.docx	11/04/2019

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