Information Collection

Office of the Secretary of Defense Confidential Conflict-of-Interest Statement for Advisory Committee Members

IC 219594 under ICR 202111-0704-003 · OMB 0704-0551.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0551 can be found here:

Documents and Forms

Document Name Document Type
Form SD0830 Office of the Secretary of Defense Confidential Conflict-of-Interest Statement for Advisory Committee Members Form
SD0830 Office of the Secretary of Defense Confidential Conflict SD0830_2.15.22.pdf Form
SD0830 Office of the Secretary of Defense Confidential Conflict SD0830_2.15.22.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Office of the Secretary of Defense Confidential Conflict-of-Interest Statement for Advisory Committee Members	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	SD0830	Office of the Secretary of Defense Confidential Conflict-of-Interest Statement for OSD Advisory Committee Members	SD0830_2.15.22.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	906	906

Documents for IC

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