Information Collection

Combined Federal Campaign Results Form

IC 33675 under ICR 201411-3206-001 · OMB 3206-0193.

Documents and Forms

Document Name Document Type
Form OPM 1417 Combined Federal Campaign Results Form Form and Instruction
OPM 1417 CFC Campaign Results OPM_Online_Form_1417.PDF Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Combined Federal Campaign Results Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 950

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM 1417	CFC Campaign Results	OPM_Online_Form_1417.PDF		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 151	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	151	-96	247
Annual IC Time Burden (Hours)	101	-23	124
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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