Information Collection

Disclosure Of Real Or Potential Conflict Of Interest For External Evaluations

IC 264024 under ICR 202312-0412-002 · OMB 0412-0628.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Disclosure Conflict Interest_ Nov 2023_508v.pdf	Other-Report
Disclosure Conflict Interest_ Nov 2023_508v.pdf	Other-Report

IC Title:

DISCLOSURE OF REAL OR POTENTIAL CONFLICT OF INTEREST FOR EXTERNAL EVALUATIONS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-Report			Disclosure Conflict Interest_ Nov 2023_508v.pdf		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 680

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	680	680
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	0	0

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.