Oge Form 450 - Executive Branch Confidential Financial Disclosure Report (Page 3 of 7) in pdf

can make an informed judgment as to compliance

D. Reporting Periods

INSTRUCTIONS FOR

with applicable conflict of interest laws and standards

of conduct regulations.

New entrant reports: The reporting period is the

OGE FORM 450,

preceding twelve months from the date of filing.

This form consists of five parts, which require

CONFIDENTIAL FINANCIAL

identification of certain specific financial interests

Annual reports:

The reporting period covers

DISCLOSURE REPORT

and activities. NO DISCLOSURE OF AMOUNTS OR

October 1 through September 30 (or that portion not

VALUES IS REQUIRED. You must complete each

covered by a new entrant report). However, no report

part (except as indicated for Part V) and sign the

is required if you performed the duties of your position

report. If you have no information to report in any

for less than 61 days during that twelve-month

A. Why You Must File

part or do not meet the threshold values for reporting,

period. (All reappointed or redesignated SGE's file

check the “None” box. New entrants and SGEs are

reports, regardless of the number of days worked).

This report is a safeguard for you as well as the

not required to complete Part V.

Government. It provides a mechanism for determining

actual or potential conflicts between your public

You must include information applicable to

E. Where To File

responsibilities and your private interests and

yourself, your spouse, and dependent children on

activities. This allows you and your agency to fashion

Parts I, II and V.

This is required because their

With ethics officials at the agency in which you serve

appropriate protections against such conflicts.

financial interests are attributed to you under ethics

or will serve, or in accordance with their procedures.

rules in determining conflicts of interest. Information

about your spouse is not required in the case of

divorce, permanent separation, or temporary

B. Who Must File

F. Definitions

separation with the intention of terminating the

marriage or permanently separating. Parts III and IV

Agencies are required to designate positions at or

require disclosures about yourself only.

Dependent Child - means your son, daughter,

below GS-15, O-6, or comparable pay rates, in which

stepson, or stepdaughter if such person is either:

the nature of duties may involve a potential conflict

You may distinguish any entry for a family

of interest.

Examples include contracting,

(1) unmarried, under age 21, and living in

member by preceding it with S for spouse, DC for

procurement, administering grants and licenses,

dependent child, or J for jointly held.

your household; or

regulating/auditing non-Federal entities, other

(2) a “dependent” of yours for Federal

activities having a substantial economic effect on

income tax purposes. See 26 U.S.C.

non-Federal entities, or law enforcement.

Part I: Assets & Income

152.

All special Government employees (SGEs) must file,

Assets:

Honoraria - means payments (direct or indirect) of

unless exempted by their agency or subject to the

money or anything of value to you or your spouse for

public reporting system. Agencies may also require

an appearance, speech or article, excluding necessary

Report all assets held for investment or for the

certain employees in positions above GS-15, O-6, or

travel expenses.

Also included are payments to

production of income by you, your spouse, and

a comparable pay rate to file.

charities in lieu of honoraria.

dependent children, with a value greater than

$1,000 at the end of the reporting period or

which produced more than $200 in income

Special Government Employee (SGE) - is defined in

C. When To File

during the reporting period.

18 U.S.C. 202(a) as: an officer or employee of an

agency who performs temporary duties, with or

New entrant reports: Due within 30 days of assuming

Salary and Earned Income:

without compensation, for not more than 130 days in

a position designated for filing, unless your agency

a period of 365 days, either on a full-time or

requests the report earlier. No report is required if

For yourself: report all sources of salary and

intermittent basis.

you left another filing position within 30 days prior to

earned income greater than $200 during the

assuming the new position. (SGEs must file new

reporting period.

reports upon each reappointment or redesignation,

G. General Instructions

at the time specified by the agency.)

For your spouse: report all sources of salary

and earned income if greater than $1,000 (for

Filers must provide sufficient information about

Annual reports: Due not later than October 31,

honoraria, if greater than $200).

outside interests and activities so that ethics officials

unless extended by your agency.

Oge Form 450 - Executive Branch Confidential Financial Disclosure Report Page 3

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