Information Collection

FR 28c

IC 247013 under ICR 202404-7100-011 · OMB 7100-0181.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 7100-0181 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 28c FR 28c	Form
FR 28c Pre-Hire Conflict of Interest Screening FR28c_202404_f.pdf	Form

IC Title:

FR 28c

Agency IC Tracking Number:

FR 28c

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	FR 28c	Pre-Hire Conflict of Interest Screening	FR28c_202404_f.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title: BGFRS-1 Recruiting, Placement, and Onboarding Records

FR Citation: 84 FR 18843

Number of Respondents: 2,300

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	2,300	2,300
Annual IC Time Burden (Hours)	1,334	1,334
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.