Financial Disclosure Report

ICR 202205-3440-004

OMB: 3440-0001

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2022-06-01
Supplementary Document
2022-05-31
Supplementary Document
2022-05-31
Supporting Statement A
2022-05-31
IC Document Collections
IC ID
Document
Title
Status
32571 Modified
ICR Details
3440-0001 202205-3440-004
Received in OIRA 201807-3440-001
ODNI IC CIO 2014-0390
Financial Disclosure Report
Extension without change of a currently approved collection   No
Regular 06/01/2022
  Requested Previously Approved
36 Months From Approved 06/30/2022
86,000 86,000
172,000 172,000
9,187,380 9,187,380

This information collection is used to make personnel security determinations, including whether to grant a security clearance; to allow access to classified information, sensitive areas, and equipment; or to permit assignment to sensitive national security positions. The data may later be used as a part of a review process to evaluate continued eligibility for access to classified information or as evidence in legal proceedings. No changes have been made to the data collected by the SF 714, the format of the form, or the instructions. There are non-substantive changes in the Privacy Section of the form involving removal of rescinded statue and executive orders, as well as annotation of statute and executive orders that have been amended.

EO: EO 12968 Name/Subject of EO: Access to Classified Information
  
None

Not associated with rulemaking

  86 FR 67980 11/30/2021
87 FR 33213 06/01/2022
No

1
IC Title Form No. Form Name
Financial Disclosure Report SF 714 Financial Disclosure Form

  Total Request 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 86,000 86,000 0 0 0 0
Annual Time Burden (Hours) 172,000 172,000 0 0 0 0
Annual Cost Burden (Dollars) 9,187,380 9,187,380 0 0 0 0
No
No

$9,187,380
No
    Yes
    Yes
No
No
No
No
William Wheeler 301 243-0472 willmew@dni.gov

  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.
06/01/2022


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