Truth in Testimony Disclosure Form — Scott R. Jensen, Hearing of 03/31/2022
Summary
This Truth in Testimony Disclosure Form is for witness Scott R. Jensen, Chief Executive Officer and Vice President of External Affairs, for an Oversight and Reform Government Operations hearing with a Hearing Date of 03/31/2022. The Hearing Subject is Improper Payments (Unemployment Assistance). The form answers Not applicable to the question about the entity represented and to the questions about federal grants or contracts and foreign government payments, and answers No - not applicable to the fiduciary question.
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“Truth in Testimony Disclosure Form — Scott R. Jensen, Hearing of 03/31/2022.”
Original at docs.house.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/hhrg-117-go24-ttf-jensens-20220331-5c4b7c779af5-15a8c824b4/
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Truth in Testimony Disclosure Form
In accordance with Rule XI, clause 2(g)(5)* of the Rules of the House of Representatives, witnesses are asked
to disclose the following information. Please complete this form electronically by filling in the provided blanks.
Committee: Oversight and Reform
Subcommittee: Government Operations
Hearing Date: 03/31/2022
Hearing Subject :
Improper Payments (Unemployment Assistance)
Witness Name: Scott R. Jensen
Position/Title: Chief Executive Officer and Vice President of External Affairs
Witness Type: Governmental Non-governmental
Are you representing yourself or an organization? Self Organization
If you are representing an organization, please list what entity or entities you are representing:
Not applicable
FOR WITNESSES APPEARING IN A NON-GOVERNMENTAL CAPACITY
Please complete the following fields. If necessary, attach additional sheet(s) to provide more information.
Are you a fiduciary—including, but not limited to, a director, officer, advisor, or resident agent—of any
organization or entity that has an interest in the subject matter of the hearing? If so, please list the name of
the organization(s) or entities.
No - not applicable
Please list any federal grants or contracts (including subgrants or subcontracts) related to the hearing’s
subject matter that you or the organization(s) you represent have received in the past thirty-six months
from the date of the hearing. Include the source and amount of each grant or contract.
Not applicable
Please list any contracts, grants, or payments originating with a foreign government and related to
the hearing’s subject that you or the organization(s) you represent have received in the past thirty-six
months from the date of the hearing. Include the amount and country of origin of each contract
or payment.
Not applicable
Please complete the following fields. If necessary, attach additional sheet(s) to provide more information.
✔
I have attached a written statement of proposed testimony.
✔ I have attached my curriculum vitae or biography.
* Rule XI, clause 2(g)(5), of the U.S. House of Representatives provides:
(5)(A) Each committee shall, to the greatest extent practicable, require witnesses who appear before it to submit in advance
written statements of proposed testimony and to limit their initial presentations to the committee to brief summaries thereof.
(B) In the case of a witness appearing in a non-governmental capacity, a written statement of proposed testimony shall include—
(i) a curriculum vitae; (ii) a disclosure of any Federal grants or contracts, or contracts, grants, or payments originating with a foreign
government, received during the past 36 months by the witness or by an entity represented by the witness and related to the subject matter
of the hearing; and (iii) a disclosure of whether the witness is a fiduciary (including, but not limited to, a director, officer, advisor, or
resident agent) of any organization or entity that has an interest in the subject matter of the hearing.
(C) The disclosure referred to in subdivision (B)(ii) shall include— (i) the amount and source of each Federal grant (or subgrant
thereof) or contract (or subcontract thereof) related to the subject matter of the hearing; and (ii) the amount and country of origin of any
payment or contract related to the subject matter of the hearing originating with a foreign government.
(D) Such statements, with appropriate redactions to protect the privacy or security of the witness, shall be made publicly available
in electronic form 24 hours before the witness appears to the extent practicable, but not later than one day after the witness appears.
Oversight and Reform
03/31/2022 — Improper Payments (Unemployment Assistance)
False Statements Certification
Knowingly providing material false information to this committee/subcommittee, or knowingly concealing
material information from this committee/subcommittee, is a crime (18 U.S.C. § 1001). This form will be
made part of the hearing record.
3/29/22
Witness signature Date
Oversight and Reform
03/31/2022 — Improper Payments (Unemployment Assistance)
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- Original
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