Confidential Financial Disclosure Form

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

⚠️ Notice: This information collection may be referencing outdated material.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 Form and Instruction
3110-48 Confidential Financial Disclosure Form for Special Gover 2260.06 Form 3110-48.pdf www.epa.gov/sap/confidential-financial-disclosure-form-environmental-protection-agency-special-government Form and Instruction
3110-48 Confidential Financial Disclosure Form for Special Gover 2260.06 Form 3110-48.pdf www.epa.gov/sap/confidential-financial-disclosure-form-environmental-protection-agency-special-government Form and Instruction

Information Collection (IC) Details

IC Title:	Confidential Financial Disclosure Form	Agency IC Tracking Number:	2260.07

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 2634.903

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	2260.06 Form 3110-48.pdf	https://www.epa.gov/sap/confidential-financial-disclosure-form-environmental-protection-agency-special-government	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 325	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	325	-175	500
Annual IC Time Burden (Hours)	325	-175	500
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.