Notification of Designation

• Date: 06 June 2019
• Section: Office of Government Ethics (OGE)

____________

NOTIFICATION OFDESIGNATION

ALTERNATE DESIGNATED AGENCY ETHICS OFFICIAL

In accordance with the Ethics in Government Act of 1978 and pursuant to 5 C.F.R. § 2638.107,

I designate_________________________ to serve as the Alternate Designated Agency Ethics

Official (ADAEO) of __________________________________________________________.

This designationis effective on ____________.

_________________________________ may be reached by phone at _____________________

or by email at _________________________________________________________________.

I understand that the ADAEO serves as the primary deputy to the Designated Agency Ethics

Official (DAEO) in the administration of the agency’s ethics program. I confirm that

_________________ has demonstrated the skills necessary to assist the DAEO in the

administration of the ethics program, as is required of the ADAEO per 5 C.F.R. § 2638.104(d).

Date _____________________________________________

Signature (agency head)

_____________________________________________

Title

Office of Government Ethics

OGE Form 241B (5/2019)

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