Confidential Financial Disclosure Form for Special Government Employees Serving on Federal Advisory Committees at the U.S. Environmental Protection Agency (Renewal)

ICR 202104-2090-001

OMB: 2090-0029

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2021-04-27
IC Document Collections
IC ID
Document
Title
Status
181374 Modified
ICR Details
2090-0029 202104-2090-001
Received in OIRA 201711-2090-001
EPA/AdmO 2260.07
Confidential Financial Disclosure Form for Special Government Employees Serving on Federal Advisory Committees at the U.S. Environmental Protection Agency (Renewal)
Extension without change of a currently approved collection   No
Regular 04/30/2021
  Requested Previously Approved
36 Months From Approved 06/30/2021
325 500
325 500
0 0

The purpose of this information collection request is to assist the EPA in selecting federal advisory committee members who will be appointed as Special Government Employees (SGEs), mostly to the EPAs scientific and technical committees. Agency officials developed the Confidential Financial Disclosure Form for Special Government Employees Serving on Federal Advisory Committees at the U.S. Environmental Protection Agency, also referred to as Form 3110-48, for greater inclusion of information to discover any potential conflicts of interest as recommended by the Government Accountability Office.

EO: EO 12674 Name/Subject of EO: Ethics in Government Act of 1978
  
None

Not associated with rulemaking

  85 FR 68827 10/30/2020
86 FR 22962 04/30/2021
No

1
IC Title Form No. Form Name
Confidential Financial Disclosure Form 3110-48 Confidential Financial Disclosure Form for Special Government Employees

  Total Request 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 325 500 0 0 -175 0
Annual Time Burden (Hours) 325 500 0 0 -175 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is a decrease of 175 hours in the total estimated respondent burden compared with the ICR currently approved by OMB. This change is due to a decrease in the estimated number of respondents (from 500 to 325).

$79,040
No
    No
    No
No
No
No
No
Gina Moore 202 566-0462 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/30/2021


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