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
Form OPM Form 1647 A Independent Members of Federations Combined Federal Campaign	Form and Instruction
Form OPM Form 1647 B Federations Application Combined Federal Campaign	Form and Instruction
Form OPM Form 1647 E Family Support and Youth/Activities Program 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
OPM Form 1647 A Independent Members of Federations OPM Form 1647-A - NO REV DATE.PDF	Form and Instruction
OPM Form 1647 B Federations Application OPM Form 1647-B - NO REV DATE.PDF	Form and Instruction
OPM Form 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
Combined Federal Campaign Privacy Act Statement.docx CFC Privacy Act Statement	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM Form 1647 A	Yes	Yes	Fillable Fileable
Form and Instruction	OPM Form 1647 B	Yes	Yes	Fillable Printable
Form and Instruction	OPM Form 1647 E	Yes	Yes	Fillable Fileable

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
	Program Change Due to Agency Discretion	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
CFC Privacy Act Statement		11/04/2019

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

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