View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3420-0035	ICR Reference No: 201712-3420-001
Status: Historical Active	Previous ICR Reference No: 201411-3420-003
Agency/Subagency: OPIC	Agency Tracking No: OPIC-254
Title: Personal Financial Statement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/30/2018
	Date Received in OIRA: 12/01/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved	01/31/2018
Responses	75	0	75
Time Burden (Hours)	75	0	75
Cost Burden (Dollars)	5,625	0	5,625

Annual Cost to Federal Government: $4,026

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: James Bobbitt 202 336-8558 james.bobbitt@opic.gov

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