Nominee Report   U.S. Office of Government Ethics; 5 C.F.R. part 2634   Form Approved: OMB No. (3209-0001) (March 2014)

Executive Branch Personnel
Public Financial Disclosure Report (OGE Form 278e)
Filer's Information
Montgomery, Brian Darrell
Assistant Secretary (Housing-Federal Housing Commissioner), Department of Housing and Urban Development
Other Federal Government Positions Held During the Preceding 12 Months:
None
Names of Congressional Committees Considering Nomination:
●
Committee on Banking, Housing, and Urban Affairs

Electronic Signature - I certify that the statements I have made in this form are true, complete and correct to the best of my knowledge.
/s/ Montgomery, Brian Darrell [electronically signed on 06/12/2017 by Montgomery, Brian Darrell in Integrity.gov]

Agency Ethics Official's Opinion - On the basis of information contained in this report, I conclude that the filer is in compliance with applicable laws and regulations
(subject to any comments below).
/s/ CRUCIANI, LINDA M, Certifying Official [electronically signed on 09/19/2017 by CRUCIANI, LINDA M in Integrity.gov]

Other review conducted by
/s/ Allen, Lindsey, Ethics Official [electronically signed on 09/19/2017 by Allen, Lindsey in Integrity.gov]

U.S. Office of Government Ethics Certification
/s/ Apol, David, Certifying Official [electronically signed on 09/29/2017 by Apol, David in Integrity.gov]

 1. Filer's Positions Held Outside United States Government
#

ORGANIZATION NAME

CITY, STATE

ORGANIZATION
TYPE

POSITION HELD

FROM

TO

1

The Collingwood Group LLC

Washington,
District of
Columbia

LLC

Vice Chairman

8/2009

Present

2

The Radian Group Inc.

Philadelphia,
Pennsylvania

Corporation

Board of
Directors

5/2012

Present

3

Reverse Mortgage Funding LLC

Bloomfield, New
Jersey

LLC

Board of
Directors

12/2016

Present

4

Commonwealth USA Settlements, LLC

Pittsburgh,
Pennsylvania

LLC

Minority Partner

7/2013

12/2015

5

Kuity, Inc

See Endnote

San Diego,
California

Corporation

Director

6/2011

6/2015

6

Situs Group, LLC

See Endnote

Houston, Texas

LLC

Managing
Director

5/2017

Present

7

Reverse Mortgage Investment Trust

Bloomfield, New
Jersey

Corporation

Board of
Directors

2/2014

12/2016

VALUE

INCOME TYPE

INCOME
AMOUNT

See Endnote

2. Filer's Employment Assets & Income and Retirement Accounts
#

DESCRIPTION

EIF

1

The Radian Group

See Endnote

N/A

Director fees

$86,625

2

The Collingwood Group (Risk Management)

See Endnote

N/A

Salary

$637,500

3

The Collingwood Group (Risk Management)

N/A

None (or less
than $1,001)

Capital Gains

$100,001 $1,000,000

4

The Radian Group, vested and unvested
restricted stock units

N/A

$1,000,001 $5,000,000

None (or less
than $201)

5

Reverse Mortgage Investment Trust (RMIT),
common stock

N/A

$100,001 $250,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

6

Reverse Mortgage Investment Trust
(Reverse mortgage lender and servicer.)

See Endnote

N/A

Director fees

$42,155

7

Commonwealth USA Settlements, LLC (Loan
settlement services.)

See Endnote

N/A

None (or less
than $1,001)

Capital Gains

$15,001 $50,000

8

Texas Employees Retirement System
Defined Benefit Plan

N/A

$15,001 $50,000

None (or less
than $201)

9

Situs Group, LLC, cash receivable

N/A

$15,001 $50,000

None (or less
than $201)

10

The Collingwood Group 401K

No

10.1

Principal LifeTime 2020

Yes

$250,001 $500,000

$15,001 $50,000

11

Edward Jones IRA

No

11.1

Bridge Builder Core Fund

Yes

$15,001 $50,000

None (or less
than $201)

11.2

Bridge Builder Core Plus Bond

Yes

$1,001 - $15,000

None (or less
than $201)

11.3

Bridge Builder Large Growth

Yes

$1,001 - $15,000

None (or less
than $201)

11.4

Bridge Builder Large Value

Yes

$15,001 $50,000

None (or less
than $201)

11.5

Bridge Builder SmallMid Growth

Yes

$1,001 - $15,000

None (or less
than $201)

11.6

Bridge Builder SmallMid Value

Yes

$1,001 - $15,000

None (or less
than $201)

11.7

Capital World Bond Fund CLF2

Yes

$1,001 - $15,000

None (or less
than $201)

11.8

Dimensional DFA International Value Fund

Yes

$15,001 $50,000

None (or less
than $201)

11.9

Dodge & Cox Stock Fund

Yes

$15,001 $50,000

None (or less
than $201)

11.10

EuroPacific Growth Fund CLF2

Yes

$15,001 $50,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

11.11

Franklin Mutual Shares Fund CLZ

Yes

$1,001 - $15,000

None (or less
than $201)

11.12

John Hancock Disciplined Value Mid Cap
Fund CL1

Yes

$1,001 - $15,000

None (or less
than $201)

11.13

JP Morgan US Government Money Market
Fund Capital CL

Yes

$1,001 - $15,000

None (or less
than $201)

11.14

Metropolitan West Funds Total Return Bond
Fund CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

11.15

MFS International Value Fund CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

11.16

Pimco Funds Total Return Fund IV Inst CL

Yes

$1,001 - $15,000

None (or less
than $201)

11.17

Prudential High Yield Fund CL Q

Yes

$1,001 - $15,000

None (or less
than $201)

11.18

Prudential Jennison Mid-Cap Growth Fund
Inc CL Q

Yes

$1,001 - $15,000

None (or less
than $201)

11.19

Royce Premier Fund Institutional CL

Yes

$1,001 - $15,000

None (or less
than $201)

11.20

T Rowe Price Institutional Large Cap Growth
Fund

Yes

$1,001 - $15,000

None (or less
than $201)

11.21

T Rowe Price International Discovery Fund
CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

11.22

Victory Sycamore Small Company
Opportunity Fund Class 1

Yes

$1,001 - $15,000

None (or less
than $201)

12

Edward Jones IRA #2

No

12.1

Cisco Systems, Inc. - Common Stock

N/A

$1,001 - $15,000

Capital Gains

$1,001 - $2,500

12.2

General Electric Co Common Stock

N/A

$1,001 - $15,000

Capital Gains

$201 - $1,000

12.3

Hexcel Corp Common Stock

N/A

$1,001 - $15,000

Capital Gains

$1,001 - $2,500

12.4

Johnson & Johnson Common Stock

N/A

$1,001 - $15,000

Capital Gains

$201 - $1,000

12.5

Kimberly Clark Corp Common Stock

N/A

$1,001 - $15,000

Capital Gains

$201 - $1,000

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

12.6

Oracle Corp Common Stock

N/A

$1,001 - $15,000

Capital Gains

$1,001 - $2,500

12.7

Pfizer Inc Common Stock

N/A

$1,001 - $15,000

Capital Gains

$201 - $1,000

12.8

Signature Bank - Common Stock

N/A

$1,001 - $15,000

Capital Gains

$201 - $1,000

12.9

Time Warner Inc Common Stock

N/A

$1,001 - $15,000

Capital Gains

$201 - $1,000

12.10

MFS Moderate Allocation Fund CL A

Yes

$50,001 $100,000

$5,001 - $15,000

13

The Radian Group, anticipated director fees

N/A

$100,001 $250,000

None (or less
than $201)

14

Situs Group, LLC, ordinary common units

N/A

$1,000,001 $5,000,000

None (or less
than $201)

15

Situs Group LLC

N/A

Salary

$28,000

3. Filer's Employment Agreements and Arrangements
#

EMPLOYER OR PARTY

CITY, STATE

STATUS AND TERMS

DATE

1

The Radian Group

Philadelphia,
Pennsylvania

The Radian Group will accelerate the vesting of my
nonvested restricted stock units, which will occur
before I assume the duties of Assistant Secretary.
Pursuant to Radian’s equity plan, my vested restricted
stock units are converted into shares of Radian’s
common stock upon resignation.

5/2012

2

The Collingwood Group

Washington,
District of
Columbia

I will continue to participate in this defined
contribution plan. My former employer will not make
further contributions after my separation.

1/2010

3

Employee Retirement System of Texas

Austin, Texas

I will continue to participate in this defined benefit
plan.

2/1995

4

Situs Group, LLC

Houston, Texas

Upon confirmation, The Situs Group, Inc. will convert
my ordinary common units to cash, which will occur
before I assume the duties of Assistant Secretary of
Housing/FHA Commissioner. The Situs Group, Inc. will
also make a cash payment to me equal to the
remaining balance of its acquisition of The
Collingwood Group LLC, in May 2017.

5/2017

 #

EMPLOYER OR PARTY

CITY, STATE

STATUS AND TERMS

DATE

5

The Radian Group

Philadelphia,
Pennsylvania

Upon my resignation, I will be entitled to a prorated
portion of my $115,000 annual equity award in cash
for time served since the previous annual meeting.

5/2012

6

The Radian Group

Philadelphia,
Pennsylvania

Pursuant to Radian’s director compensation program,
which is described in Radian’s annual proxy
statement filed with the SEC, I am paid an annual
retainer for my service of $32,500 (which is paid
$8,125 in advance on a quarterly basis) and $2,000
per meeting attended (paid in arrears).

5/2012

7

The Radian Group

Philadelphia,
Pennsylvania

I am entitled to expense reimbursements in
connection with my attendance at Radian Group’s
August 2017 Board of Director and Board Committee
meetings and in connection with any future meetings
I might attend prior to my resignation.

5/2012

4. Filer's Sources of Compensation Exceeding $5,000 in a Year
#

SOURCE NAME

CITY, STATE

BRIEF DESCRIPTION OF DUTIES

1

The Collingwood Group

Washington,
District of
Columbia

Co-founder and partner, I assist in new client prospecting and current
client maintenance. I assist in the general management and strategic
direction of the company.

2

The Radian Group

Philadelphia,
Pennsylvania

I help guide strategic direction of the company with a focus revenue,
growth, compliance, personnel, audits, investment strategy, and legal
matters. I also serve on the credit and audit committees.

3

Commonwealth USA Settlements, LLC

Pittsburgh,
Pennsylvania

I served as corporate director and exercised the corporate governance
responsibilities that are normal and customary as a board member.

4

Situs Group, LLC

Houston, Texas

I assist in new client prospecting and current client maintenance. I assist
in the general management and strategic direction of the company.

5

Caliber Home Loans

Irving, Texas

My work involved providing insight and advice on FHA policies and
procedures.

6

Dorsey & Whitney, LLP

Washington,
District of
Columbia

My work involved providing insight and advice on FHA policies and
procedures.

7

McGuireWoods, LLP

Washington,
District of
Columbia

My work involved providing insight and advice on FHA policies and
procedures.

 #

SOURCE NAME

CITY, STATE

BRIEF DESCRIPTION OF DUTIES

8

Morrison & Foerster, LLP

Washington,
District of
Columbia

My work involved providing insight and advice on FHA policies and
procedures.

9

Nationstar Mortgage

Irving, Texas

My work involved providing insight and advice on FHA policies and
procedures.

10

Solar City, Inc

San Mateo,
California

My work involved providing insight and advice on FHA policies and
procedures.

11

Ten-X, Inc.

Irvine, California

My work involved providing insight and advice on FHA policies and
procedures.

12

Well Fargo Bank, NA

Des Moines,
Iowa

My work involved providing insight and advice on FHA policies and
procedures.

13

US Bank

Minneapolis,
Minnesota

My work involved providing insight and advice on FHA policies and
procedures.

14

Accenture Consulting

Washington,
District of
Columbia

My work involved providing insight and advice on FHA policies and
procedures.

15

Reverse Mortgage Funding LLC

Bloomfield, New
Jersey

I help provide strategic guidance on the direction of the company. I also
help ensure RMF has the necessary oversight particularly in the areas of
Governance and Compensation as I sit on those two Board committees.

See Endnote

5. Spouse's Employment Assets & Income and Retirement Accounts
#

DESCRIPTION

EIF

1

The Chertoff Group (Homeland and Cyber
Security Consulting)

N/A

2

The Chertoff Group (investment plans)

No

2.1

Diamond Holdings LLC, (business services)

No

2.1.1

Delta Risk LLC, (cyber security)

N/A

2.2

Vulcan Holdings LLC, (business services)

No

VALUE

INCOME TYPE

INCOME
AMOUNT

salary, bonus

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

INCOME TYPE

INCOME
AMOUNT

2.2.1

Coal Fire Systems, Inc., (cyber security)

N/A

$1,001 - $15,000

None (or less
than $201)

2.3

SC SPV LLC, (banking and financial services)

No

2.3.1

Silent Circle, (cyber security for banking and
financial services)

N/A

$15,001 $50,000

None (or less
than $201)

3

Chertoff Group 401(K) Plan

Yes

3.1

JPMorgan Smart Reirement 2030A

Yes

$50,001 $100,000

None (or less
than $201)

3.2

JPMorgan Smart Retirement 2040A

Yes

$1,001 - $15,000

None (or less
than $201)

3.3

JP Morgan Intrepid Value A

Yes

$15,001 $50,000

None (or less
than $201)

4

Edward Jones IRA

No

4.1

American Fundamental Investors CLF3

Yes

$15,001 $50,000

None (or less
than $201)

4.2

American International Growth and Income
CLF3

Yes

$1,001 - $15,000

None (or less
than $201)

4.3

Artisan International Value Fund Advisor
Class

Yes

$15,001 $50,000

None (or less
than $201)

4.4

Bridge Builder Core Bond

Yes

$1,001 - $15,000

None (or less
than $201)

4.5

Bridge Builder Intl Equity

Yes

$15,001 $50,000

None (or less
than $201)

4.6

Bridge Builder Large Growth

Yes

$1,001 - $15,000

None (or less
than $201)

4.7

Bridge Builder SmallMid Growth

Yes

$1,001 - $15,000

None (or less
than $201)

4.8

Bridge BuilderSmallMid Value

Yes

$1,001 - $15,000

None (or less
than $201)

4.9

Delaware Small Cap Value Fund CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

 #

DESCRIPTION

EIF

VALUE

4.10

Delaware US Growth Fund CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

4.11

Dodge & Cox Stock Fund

Yes

$1,001 - $15,000

None (or less
than $201)

4.12

Hotchkis & Wiley Mid Cap Value Fund CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

4.13

Invesco Comstock Fund Class Y

Yes

$1,001 - $15,000

None (or less
than $201)

4.14

JPMorgan US Government Money Market
Fund Capital CL

Yes

$1,001 - $15,000

None (or less
than $201)

4.15

MFS Value Fund CL 1

Yes

$15,001 $50,000

None (or less
than $201)

4.16

Oppenheimer International Grow Fund CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

4.17

PIMCO Funds High Yield Fund Institutional
Class

Yes

$1,001 - $15,000

None (or less
than $201)

4.18

PrimeCap Odyssey Stock Fund

Yes

$1,001 - $15,000

None (or less
than $201)

4.19

T Rowe Price Institutional Large Cap Growth
Fund

Yes

$1,001 - $15,000

None (or less
than $201)

4.20

T Rowe Price Intenrational Discovery Fund
CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

4.21

T Rowe Price Small Cap Value CL 1

Yes

$1,001 - $15,000

None (or less
than $201)

4.22

Victory Munder Mid Cap Core Growth Fund
CL Y

Yes

$1,001 - $15,000

None (or less
than $201)

6. Other Assets and Income

INCOME TYPE

INCOME
AMOUNT

 #

DESCRIPTION

EIF

1

Virginia 529 College Savings Plan

No

1.1

Portfolio 2024

Yes

2

Virginia 529 College Savings Plan

No

2.1

Portfolio 2030

3

VALUE

INCOME TYPE

INCOME
AMOUNT

$15,001 $50,000

None (or less
than $201)

Yes

$15,001 $50,000

None (or less
than $201)

Single Family Rental Property, Austin TX

N/A

$250,001 $500,000

4

U.S. bank account #1 (cash)

N/A

$15,001 $50,000

5

U.S. bank account #2 (cash)

N/A

$500,001 $1,000,000

6

U.S. bank account #3 (cash)

N/A

$50,001 $100,000

Rent or
Royalties

$15,001 $50,000
None (or less
than $201)

Interest

$201 - $1,000
None (or less
than $201)

7. Transactions
(N/A) - Not required for this type of report

8. Liabilities
#

CREDITOR NAME

TYPE

AMOUNT

YEAR
INCURRED

RATE

TERM

1

Wells Fargo

Mortgage on
Personal
Residence

$500,001 $1,000,000

2015

3.875

30

9. Gifts and Travel Reimbursements

 (N/A) - Not required for this type of report

Endnotes
PART

#

ENDNOTE

1.

3

Parent company of Reverse Mortgage Investment Trust.

1.

5

Position was unpaid.

1.

6

The Situs Group, Inc acquired The Collingwood Group in May 2017. The Collingwood Group name
remains with the addition "A Situs Company."

2.

1

All Board compensation from Radian is paid directly to me but is a pass-thru to my employer The
Collingwood Group.

2.

2

The Collingwood Group was acquired by The Situs Group, Inc in May 2017. The Collingwood Group
name will remain with the addition of "A Situs Company."

2.

6

All Board compensation from Reverse Mortgage/RMIT Funding is paid directly to me but is a pass-thru
to my employer The Collingwood Group.

2.

7

The income derived was a one-time payment upon sale of the company.

4.

15

Some compensation was received when it was called Reverse Mortgage Investment Trust.

 Summary of Contents
1. Filer's Positions Held Outside United States Government
Part 1 discloses positions that the filer held at any time during the reporting period (excluding positions with the United States Government). Positions are reportable
even if the filer did not receive compensation.
This section does not include the following: (1) positions with religious, social, fraternal, or political organizations; (2) positions solely of an honorary nature; (3) positions
held as part of the filer's official duties with the United States Government; (4) mere membership in an organization; and (5) passive investment interests as a limited
partner or non-managing member of a limited liability company.
2. Filer's Employment Assets & Income and Retirement Accounts
Part 2 discloses the following:
●

●

Sources of earned and other non-investment income of the filer totaling more than $200 during the reporting period (e.g., salary, fees, partnership share,
honoraria, scholarships, and prizes)
Assets related to the filer's business, employment, or other income-generating activities that (1) ended the reporting period with a value greater than $1,000 or (2)
produced more than $200 in income during the reporting period (e.g., equity in business or partnership, stock options, retirement plans/accounts and their
underlying holdings as appropriate, deferred compensation, and intellectual property, such as book deals and patents)

This section does not include assets or income from United States Government employment or assets that were acquired separately from the filer's business,
employment, or other income-generating activities (e.g., assets purchased through a brokerage account). Note: The type of income is not required if the amount of
income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF).
3. Filer's Employment Agreements and Arrangements
Part 3 discloses agreements or arrangements that the filer had during the reporting period with an employer or former employer (except the United States
Government), such as the following:
●
●
●
●
●

Future employment
Leave of absence
Continuing payments from an employer, including severance and payments not yet received for previous work (excluding ordinary salary from a current employer)
Continuing participation in an employee welfare, retirement, or other benefit plan, such as pensions or a deferred compensation plan
Retention or disposition of employer-awarded equity, sharing in profits or carried interests (e.g., vested and unvested stock options, restricted stock, future share of
a company's profits, etc.)

4. Filer's Sources of Compensation Exceeding $5,000 in a Year
Part 4 discloses sources (except the United States Government) that paid more than $5,000 in a calendar year for the filer's services during any year of the reporting
period.

 The filer discloses payments both from employers and from any clients to whom the filer personally provided services. The filer discloses a source even if the source
made its payment to the filer's employer and not to the filer. The filer does not disclose a client's payment to the filer's employer if the filer did not provide the services
for which the client is paying.
5. Spouse's Employment Assets & Income and Retirement Accounts
Part 5 discloses the following:
●

●
●

Sources of earned income (excluding honoraria) for the filer's spouse totaling more than $1,000 during the reporting period (e.g., salary, consulting fees, and
partnership share)
Sources of honoraria for the filer's spouse greater than $200 during the reporting period
Assets related to the filer's spouse's employment, business activities, other income-generating activities that (1) ended the reporting period with a value greater
than $1,000 or (2) produced more than $200 in income during the reporting period (e.g., equity in business or partnership, stock options, retirement plans/accounts
and their underlying holdings as appropriate, deferred compensation, and intellectual property, such as book deals and patents)

This section does not include assets or income from United States Government employment or assets that were acquired separately from the filer's spouse's business,
employment, or other income-generating activities (e.g., assets purchased through a brokerage account). Note: The type of income is not required if the amount of
income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF). Amounts of income are not required for a spouse's earned income (excluding
honoraria).
6. Other Assets and Income
Part 6 discloses each asset, not already reported, that (1) ended the reporting period with a value greater than $1,000 or (2) produced more than $200 in investment
income during the reporting period. For purposes of the value and income thresholds, the filer aggregates the filer's interests with those of the filer's spouse and
dependent children.
This section does not include the following types of assets: (1) a personal residence (unless it was rented out during the reporting period); (2) income or retirement
benefits associated with United States Government employment (e.g., Thrift Savings Plan); and (3) cash accounts (e.g., checking, savings, money market accounts) at a
single financial institution with a value of $5,000 or less (unless more than $200 of income was produced). Additional exceptions apply. Note: The type of income is not
required if the amount of income is $0 - $200 or if the asset qualifies as an excepted investment fund (EIF).
7. Transactions
Part 7 discloses purchases, sales, or exchanges of real property or securities in excess of $1,000 made on behalf of the filer, the filer's spouse or dependent child during
reporting period.
This section does not include transactions that concern the following: (1) a personal residence, unless rented out; (2) cash accounts (e.g., checking, savings, CDs, money
market accounts) and money market mutual funds; (3) Treasury bills, bonds, and notes; and (4) holdings within a federal Thrift Savings Plan account. Additional
exceptions apply.

 8. Liabilities
Part 8 discloses liabilities over $10,000 that the filer, the filer's spouse or dependent child owed at any time during the reporting period.
This section does not include the following types of liabilities: (1) mortgages on a personal residence, unless rented out (limitations apply for PAS filers); (2) loans
secured by a personal motor vehicle, household furniture, or appliances, unless the loan exceeds the item's purchase price; and (3) revolving charge accounts, such as
credit card balances, if the outstanding liability did not exceed $10,000 at the end of the reporting period. Additional exceptions apply.
9. Gifts and Travel Reimbursements
This section discloses:
●
●

Gifts totaling more than $375 that the filer, the filer's spouse, and dependent children received from any one source during the reporting period.
Travel reimbursements totaling more than $375 that the filer, the filer's spouse, and dependent children received from any one source during the reporting period.

For purposes of this section, the filer need not aggregate any gift or travel reimbursement with a value of $150 or less. Regardless of the value, this section does not
include the following items: (1) anything received from relatives; (2) anything received from the United States Government or from the District of Columbia, state, or
local governments; (3) bequests and other forms of inheritance; (4) gifts and travel reimbursements given to the filer's agency in connection with the filer's official travel;
(5) gifts of hospitality (food, lodging, entertainment) at the donor's residence or personal premises; and (6) anything received by the filer's spouse or dependent children
totally independent of their relationship to the filer. Additional exceptions apply.

 Privacy Act Statement
Title I of the Ethics in Government Act of 1978, as amended (the Act), 5 U.S.C. app. § 101 et seq., as amended by the Stop Trading on Congressional Knowledge Act of
2012 (Pub. L. 112-105) (STOCK Act), and 5 C.F.R. Part 2634 of the U. S. Office of Government Ethics regulations require the reporting of this information. The primary use
of the information on this report is for review by Government officials to determine compliance with applicable Federal laws and regulations. This report may also be
disclosed upon request to any requesting person in accordance with sections 105 and 402(b)(1) of the Act or as otherwise authorized by law. You may inspect
applications for public access of your own form upon request. Additional disclosures of the information on this report may be made: (1) to any requesting person,
subject to the limitation contained in section 208(d)(1) of title 18, any determination granting an exemption pursuant to sections 208(b)(1) and 208(b)(3) of title 18; (2) to
a Federal, State, or local law enforcement agency if the disclosing agency becomes aware of violations or potential violations of law or regulation; (3) to another Federal
agency, court or party in a court or Federal administrative proceeding when the Government is a party or in order to comply with a judge-issued subpoena; (4) to a
source when necessary to obtain information relevant to a conflict of interest investigation or determination; (5) to the National Archives and Records Administration or
the General Services Administration in records management inspections; (6) to the Office of Management and Budget during legislative coordination on private relief
legislation; (7) to the Department of Justice or in certain legal proceedings when the disclosing agency, an employee of the disclosing agency, or the United States is a
party to litigation or has an interest in the litigation and the use of such records is deemed relevant and necessary to the litigation; (8) to reviewing officials in a new
office, department or agency when an employee transfers or is detailed from one covered position to another; (9) to a Member of Congress or a congressional office in
response to an inquiry made on behalf of an individual who is the subject of the record; (10) to contractors and other non-Government employees working on a
contract, service or assignment for the Federal Government when necessary to accomplish a function related to an OGE Government-wide system of records; and (11)
on the OGE Website and to any person, department or agency, any written ethics agreement filed with OGE by an individual nominated by the President to a position
requiring Senate confirmation. See also the OGE/GOVT-1 executive branch-wide Privacy Act system of records.
Public Burden Information
This collection of information is estimated to take an average of three hours per response, including time for reviewing the instructions, gathering the data needed, and
completing the form. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to the Program Counsel, U.S. Office of Government Ethics (OGE), Suite 500, 1201 New York Avenue, NW., Washington, DC 20005-3917.
Pursuant to the Paperwork Reduction Act, as amended, an agency may not conduct or sponsor, and no person is required to respond to, a collection of information
unless it displays a currently valid OMB control number (that number, 3209-0001, is displayed here and at the top of the first page of this OGE Form 278e).