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OFFICE OF PERSONNEL MANAGEMENT

Personnel Management Office

OMB ID: [OMB Number: 3206-0193]

NOTICE: NOTICES

DOCUMENT ACTION: Notice.

SUBJECT CATEGORY: Comment Request for Review of a Revised Information Collection: OPM Form 1417

DATES: Comments on this proposal should be received within 30 calendar days from the date of this publication.

DOCUMENT SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (Pub. L. 10413, May 22, 1995), this notice announces that the Office of Personnel Management (OPM) submitted to the Office of Management and Budget (OMB) a request for clearance of a revised information collection. OPM Online Form 1417, the Combined Federal Campaign (CFC) Information System form, collects information from the 247 local CFC campaigns to verify campaign results and collect contact information. Revisions to the form include clarifying edits to items numbered 26, 9 and 10 of the Campaign Results Total Page, the elimination of questions numbered 1315 of the Campaign Results Total Page and the return of one question edited to collect pledge amounts designated specifically for federal emergency or disaster relief, if any, on the Campaign Results Total Page.

We estimate 247 online OPM Forms 1417 are completed annually. Each form takes approximately 20 minutes to complete. The annual estimated burden is 82.3 hours.

For copies of this proposal, contact Margaret A. Miller at (202) 6062699 or FAX (202) 4183251 or email mamiller@opm.gov. Please be sure to include a mailing address with your request.

SUMMARY: Agency Information Collection Activities; Proposals, Submissions, and Approvals,



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