Information Collection Request

FOCI Outside Director/Proxy Holder Nomination Questionnaires

ICR 202210-0705-004 · OMB 0705-0005 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0705-0005 can be found here:

Forms and Documents

Document Name	Status
0705-0005_SSA_12.29.2022.docx Supporting Statement A	2022-12-29

IC Document Collections

IC ID	Document Title	Status
257352	Outside Director/Proxy Holder Nominee Package Other-Questionnaire	New
238280	Group Assessment Form Other-	Removed
238279	Peer Evaluation Form Other-	Removed
238275	Self-Assessment Form Other-	Removed
238273	Outside Director/Proxy Holder Nominating Official Package Other-Questionnaire	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	DOD/OUSDI
OMB Control No	0705-0005
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	201910-0705-001
Agency Tracking No	0705-ODPH
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31