OGE Form 450, 5 CFR Part 2634, Subpart I
U.S. Office of Government Ethics (2/9/2024)
Expires 11/30/24
Form Approved
OMB No. 3209-0006
What is the
Reporting Period?
New Entrants:
Part I – Report assets as of the date of filing but report sources of earned income,
honoraria, and other non-investment income for the preceding 12 months.
Part II – Report liabilities as of the date of filing.
Part III – Report positions for the preceding 12 months.
Part IV – Report agreements and arrangements as of the date of filing.
Annual Filers: Report the required information for the preceding calendar year
(January 1 – December 31).
If you have any questions about how to complete this form, please contact your ethics
What if I Have
Questions?
official or go to the Office of Government Ethics web site at www.oge.gov and select
2*( Form 450&RQILGHQWLDO)LQDQFLDO'LVFORVXUH5HSRUW under Forms Library.
PENALTIES
Falsification of information or failure to file or report information required to be reported may subject you to
disciplinary action by your employing agency or other authority. Knowing and willful falsification of information
required to be reported may also subject you to criminal prosecution.
Privacy Act Statement
5 U.S.C. § 13109, Executive Order 12674 (as modified by Executive Order 12731), and 5 CFR Part 2634, Subpart I, of the Office of
Government Ethics (OGE) regulations require the reporting of this information. Failure to provide the requested information may result in
separation or disciplinary action. The primary use of the information on this form is for review by Government officials of your agency, to
determine compliance with applicable Federal conflict of interest laws and regulations. Additional disclosures may be made pursuant to
the routine uses set forth in OGE/GOVT-2: (1) to a Federal, State, or local law enforcement agency if the disclosing agency becomes
aware of a violation or potential violation of law or regulation; (2) to a source when necessary to obtain information relevant to a conflict of
interest investigation or decision; (3) to the National Archives and Records Administration in records management inspections; (4) to the
Office of Management and Budget during legislative coordination on private relief legislation; (5) when the disclosing agency determines
that the records are arguably relevant to a proceeding before a court, grand jury, or administrative or adjudicative body, or when the
adjudicator determines the records to be relevant to the proceeding; (6) to reviewing officials in a new office, department or agency when
an employee transfers or is detailed from one covered position to another; (7) to a Member of Congress or a congressional office in
response to an inquiry made on behalf of and at the request of an individual who is the subject of the record; (8) to contractors and other
non-Government employees working for the Federal Government to accomplish a function related to this OGE Government-wide system
of records; (9) to appropriate agencies, entities and persons when there has been a suspected or confirmed breach of the system of
records, the agency maintaining the records has determined that there is a risk of harm to individuals, the agency, the Federal
Government, or national security, and the disclosure is reasonably necessary to assist in connection with the agency's efforts to respond
to the suspected or confirmed breach or to prevent, minimize, or remedy such harm; and (10) to another Federal agency or Federal entity,
when the agency maintaining the record determines that information from this system of records is reasonably necessary to assist the
recipient agency or entity in responding to a suspected or confirmed breach or in preventing, minimizing, or remedying the risk of harm to
individuals, the recipient agency or entity, the Federal Government, or national security. Note: When an agency is requested to furnish
such records to OGE, such a disclosure is to be considered as made to those officers and employees of the agency which co-maintains
the records who have a need for the records in the performance of their official duties in accordance with the Ethics in Government Act
and other pertinent authority conferred on OGE, pursuant to the provisions of the Privacy Act at 5 U.S.C. § 552a(b)(1). This confidential
report will not be disclosed to any requesting person unless authorized by law. See also the OGE/GOVT-2 Executive Branch Confidential
Financial Disclosure Reports Privacy Act system of records.
Public Burden Information
It is estimated that completing this form, including reviewing the instructions and gathering the data needed, takes an average of three
hours. No private citizen is required to respond to a collection of information unless it displays a currently valid OMB control number as
printed in the top right-hand corner of the first page of this form. Send comments regarding the burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden, to: Program Counsel, U.S. Office of Government Ethics,
250 E Street, S.W, Suite 750, Washington, DC 20024-3249. Do not send your completed OGE Form 450 to this address.
CONFIDENTIAL FINANCIAL DISCLOSURE REPORT
Executive Branch
Why Must I File?
The duties and responsibilities of your position require you to file the Confidential
Financial Disclosure Report to avoid involvement in a real or apparent conflict of
interest. The purpose of this report is to assist employees and their agencies in
avoiding conflicts between official duties and private financial interests or affiliations.
The information you provide will only be used for legitimate purposes, and will not be
disclosed to any requesting person unless authorized by law. (See the Privacy Act
Statement at the bottom of this page.) Please ensure that the information you provide
is complete and accurate.
When Must I File?
New Entrants: The report is due within 30 days of your assuming a position
designated for filing, unless your agency requests the report earlier or your agency
grants you a filing extension.
Annual Filers: The report is due no later than February 15, unless your agency
grants you a filing extension.