View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3209-0006	ICR Reference No: 202005-3209-003
Status: Historical Active	Previous ICR Reference No: 201911-3209-002
Agency/Subagency: OGE	Agency Tracking No: OGE Form 450
Title: Executive Branch Confidential Financial Disclosure Report
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/27/2020
	Date Received in OIRA: 05/27/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	11/30/2021	11/30/2021
Responses	24,640	0	24,640
Time Burden (Hours)	73,920	0	73,920
Cost Burden (Dollars)	1,749,440	0	1,749,440

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	24,640	24,640
Annual Time Burden (Hours)	73,920	73,920
Annual Cost Burden (Dollars)	1,749,440	1,749,440

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $3,418,932

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. Yes

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. Yes

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? No

Agency Contact: Jennifer Matis 202 482-9216 jennifer.matis@oge.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.