Information Collection

FR 28c

IC 247013 under ICR 202602-7100-004 · OMB 7100-0181.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FR 28c Pre-Hire Conflict of Interest Screening FR 28c	Form
FR28c_202602_f_draft.pdf	Other-Draft Form
FR 28c Pre-Hire Conflict of Interest Screening FR28c_202410_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				Yes	Yes	Fillable Fileable
Other-Draft Form					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: 2,007

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,007	0	2,007
Annual IC Time Burden (Hours)	1,244	40	1,204
Annual IC Cost Burden (Dollars)	0	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.

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