Information Collection

Combined Federal Campaign

IC 237705 under ICR 202301-3206-001 · OMB 3206-0269.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPM 1647 A Combined Federal Campaign	Form and Instruction
OPM 1647 A Independent Members of Federations OPM Form 1647-A.pdf	Form and Instruction
OPM 1647 B Federations Application OMB 1647 B -NO REV DATE.pdf	Form and Instruction
OPM 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 and Burden Statements 3206-0269.docx Privacy -Burden Statement	IC Document

IC Title:

Agency IC Tracking Number:

OPM 1647

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 950

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

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
	Requested	Previously Approved
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
Privacy -Burden Statement	Combined Federal Campaign Privacy Act Statement and Burden Statements 3206-0269.docx	01/27/2023

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