OMB control number
Pre-Hire Conflict of Interest Screening Form
OMB 7100-0379 · FRS.
OMB 7100-0379
The FR 28c form collects information from external applicants applying to the Board regarding certain financial interests or business relationships held by the applicant and by their immediate family members, as well as the external applicant’s involvement with certain outside organizations to determine whether a conflict of interest may exist, which could impact the applicant’s ability to fulfill the responsibilities associated with the position for which they have applied.
The latest form for Pre-Hire Conflict of Interest Screening Form expires 2023-08-31 and can be found here.
Latest Forms, Documents, and Supporting Material
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Supporting Statement A |
All Historical Document Collections
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Approved without change |
New collection (Request for a new OMB Control Number) | 2020-08-13 |