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Federal forms, ICRs, and supporting documents

Information Collection Request

CONFIDENTIAL STATEMENT OF EMPLOYMNET AND FINANCIAL INTERESTS, 10 CFR 0.735-28

ICR 198112-3150-003 · OMB 3150-0025 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
156063 CONFIDENTIAL STATEMENT OF EMPLOYMNET AND FINANCIAL INTERESTS, 10 CFR 0.735-28 Form Migrated
ICR Details
3150-0025 198112-3150-003
Historical Active 198104-3150-024
NRC
CONFIDENTIAL STATEMENT OF EMPLOYMNET AND FINANCIAL INTERESTS, 10 CFR 0.735-28
Extension without change of a currently approved collection   No
Regular
Approved without change 12/18/1981
Retrieve Notice of Action (NOA) 12/15/1981
  Inventory as of this Action Requested Previously Approved
01/31/1984 01/31/1984 01/31/1982
200 0 200
200 0 200
0 0 0
PROVIDES BASIC DATA FOR POTENTIAL AGENCY EMPLOYEES AND/OR CONSULTANTS TO PRECLUDE ANY POTENTIAL CONFLICT OF INTEREST.
None
None
No
1
IC Title Form No. Form Name
CONFIDENTIAL STATEMENT OF EMPLOYMNET AND FINANCIAL INTERESTS, 10 CFR 0.735-28 NRC 443
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 200 200 0 0 0 0
Annual Time Burden (Hours) 200 200 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/15/1981