Outside Director/Proxy Holder Nominee Package

FOCI Outside Director/Proxy Holder Nomination Questionnaires

Documents and Forms

Document Name Document Type
DCSA ODPH Questionnaire.pdf Other-Questionnaire
DCSA ODPH Questionnaire.pdf Other-Questionnaire

Information Collection (IC) Details

IC Title:	Outside Director/Proxy Holder Nominee Package	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 32 CFR 117

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			DCSA ODPH Questionnaire.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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	125	1	124
Annual IC Time Burden (Hours)	94	1	93
Annual IC Cost Burden (Dollars)	24,000	18,384	5,616

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.