Confidential Financial Disclosure Form - Individuals

Confidential Financial Disclosure Form for Special Government Employees Serving on Federal Advisory Committees at the U.S. Environmental Protection Agency

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2090-0029 can be found here:

Documents and Forms

Document Name Document Type
Form 3110-48 Confidential Financial Disclosure Form - Individuals Form and Instruction
3110-48 Confidential Financial Disclosure Form for Special Gover Form 3110-48 Confidential Financial Disclosure Form for SGEs Serving on FACs at the EPA.pdf Form and Instruction
3110-48 Confidential Financial Disclosure Form for Special Gover 2260supp03 - Revised Form 3110-48.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Confidential Financial Disclosure Form - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3110-48	Confidential Financial Disclosure Form for Special Government Employees Serving on Federal Advisory Committees at the U.S. Environmental Protection Agency	Form 3110-48 Confidential Financial Disclosure Form for SGEs Serving on FACs at the EPA.pdf		No	No	Fillable Printable
Form and Instruction	3110-48	Confidential Financial Disclosure Form for Special Government Employees Serving on Federal Advisory Committees at the U.S. EPA (Revised 06/08)	2260supp03 - Revised Form 3110-48.pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	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.