View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Personal Financial Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 22 CFR 706

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OPIC-254				Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	75	0	75	0	0	0
Annual IC Time Burden (Hours)	75	0	75	0	0	0
Annual IC Cost Burden (Dollars)	5,625	0	5,625	0	0	0

Documents for IC

Title	Document	Date Uploaded
I-83		11/13/2014

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

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