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Federal forms, ICRs, and supporting documents

Information Collection Request

CONFIDENTIAL STATEMENT OF EMPLOYMENT AND FINANCIAL INTERESTS

ICR 198609-3150-002 · 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
156065 CONFIDENTIAL STATEMENT OF EMPLOYMENT AND FINANCIAL INTERESTS Form Migrated
ICR Details
3150-0025 198609-3150-002
Historical Active 198311-3150-004
NRC
CONFIDENTIAL STATEMENT OF EMPLOYMENT AND FINANCIAL INTERESTS
Revision of a currently approved collection   No
Regular
Approved without change 10/06/1986
Retrieve Notice of Action (NOA) 09/16/1986
  Inventory as of this Action Requested Previously Approved
10/31/1989 10/31/1989 12/31/1986
180 0 220
360 0 440
0 0 0
INFORMATION IS REQUIRED TO DETERMINE POSSIBLE EMPLOYMENT CONFLICT OF INTEREST AND DETERMINATION OF PROFESSIONAL QUALIFICATIONS.
None
None
No
1
IC Title Form No. Form Name
CONFIDENTIAL STATEMENT OF EMPLOYMENT AND FINANCIAL INTERESTS 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 180 220 0 -40 0 0
Annual Time Burden (Hours) 360 440 0 -80 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
09/16/1986