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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.