[Federal Register Volume 80, Number 120 (Tuesday, June 23, 2015)]
[Notices]
[Pages 35971-35972]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-15350]
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DEPARTMENT OF THE INTERIOR
Office of the Secretary
[156D0102DM DS62200000 DLSN00000.000000 DX.62201]
Proposed Renewal of Information Collection: OMB Control Number
1090-0009, Donor Certification Form
AGENCY: Office of the Secretary, Office of Financial Management,
Interior.
ACTION: Notice and request for comments.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Office of Financial Management, Office of the Secretary, Department of
the Interior announces the proposed extension of a public information
collection and seeks public comments on the provisions thereof.
DATES: Consideration will be given to all comments received by August
24, 2015.
ADDRESSES: Send your written comments to Paul Batlan, Office of
Financial Management, 1849 C St. NW., MS 2557 MIB, Washington, DC
20240, or email him at [email protected]. Individuals providing
comments should reference the ``Donor Certification Form, OMB Control
Number 1090-0009''.
FOR FURTHER INFORMATION CONTACT: To request a copy of the information
collection request, any explanatory information and related forms, see
the contact information provided in the ADDRESSES section above.
SUPPLEMENTARY INFORMATION:
I. Abstract
This notice is for renewal of information collection.
The Office of Management and Budget (OMB) regulations at 5 CFR part
1320, which implement the Paperwork Reduction Act of 1995, 44 U.S.C.
3501 et seq., require that interested members of the public and
affected agencies have an opportunity to comment on information
collection and recordkeeping activities (see 5 CFR 1320.8 (d)).
This notice identifies an information collection activity that the
Office of Financial Management will submit to OMB for approval for the
Department and its bureaus to continue to collect information from
proposed donors relative to their relationship(s) with the Department.
The Department and its individual bureaus have gift acceptance
authorities. In support of the variety of donation authorities in the
Department and increasing numbers of donations, it is the policy of the
Department to ask those proposing to donate gifts valued at $25,000 or
more to provide information regarding their relationship with the
Department. The purpose of this policy is to ensure that the acceptance
of a gift does not create legal or ethical issues for the Department,
its bureaus, or potential donors. The information will be gathered
through the use of a form that collects information relevant to the
acceptability of the proposed donation in conformance with the
Department's donations policy. The form is completed and certified by
the prospective donor then submitted to the Department or its bureau
for review. Having the donor certify his or her interactions with the
Department gives the staff vetting the proposed donation basic
information to be verified, resulting in a more efficient and timely
donation review process.
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Information collected Reason for collection
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Name, and indication whether executing To identify the donor, and
in individual capacity, or on behalf whether the donor is acting
of an organization. individually or on behalf of
an organization.
Declaration whether the donor is To assist the Department in
involved with litigation or determining whether there are
controversy with the Department. any issues associated with the
proffer of the gift that need
to be more closely examined.
Declaration whether the donor is To assist the Department in
engaged in any financial or business determining whether there are
relationship with the Department. any issues associated with the
proffer of the gift that need
to be more closely examined.
Declaration whether the donor has been To assist the Department in
debarred, excluded or disqualified determining whether there are
from the non-procurement common rule, any issues associated with the
or otherwise declared ineligible from proffer of the gift that need
doing business with any Federal to be more closely examined.
agency.
Declaration as to whether the donation To assist the Department in
is expected to be involved with determining whether there are
marketing or advertising. any issues associated with the
proffer of the gift that need
to be more closely examined.
Declaration whether the donor is To assist the Department in
seeking to attach conditions to the determining whether there are
donation. any issues associated with the
proffer of the gift that need
to be more closely examined.
[[Page 35972]]
Declaration whether this proposed To assist the Department in
donation is or is not part of a series determining the scope and
of donations to the Department. context of the donation, and
to assist in determining
whether there are any issues
associated with the proffer of
the gift that need to be more
closely examined.
Signature, Printed Name, Date, To establish the contact
Organization, Email address, City, information of the potential
State, Zip, and daytime or work phone donor, and have the certifier
number. sign the certification form.
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II. Data
(1) Title: Donor Certification Form.
OMB Control Number: 1090-0009.
Current Expiration Date: September 30, 2015.
Type of Review: Information Collection Renewal.
Affected Entities: Individuals or households, Businesses, Not-for-
profit institutions, Tribal governments.
Estimated annual number of respondents: 250.
Frequency of responses: Once per prospective donation.
(2) Annual reporting and recordkeeping burden:
Total annual reporting per response: 20 minutes.
Total number of estimated responses: 250.
Total annual reporting: 84 hours.
(3) Description of the need and use of the information: This
information will provide Department staff with the basis for beginning
the evaluation as to whether the Department will accept the proposed
donation. The authorized employee will receive the donor certification
form with the proposed donation. The employee will then review the
totality of circumstances surrounding the proposed donation to
determine whether the Department can accept the donation and maintain
its integrity, impartiality, and public confidence.
III. Request for Comments
The Departments invite comments on:
(a) Whether the collection of information is necessary for the
proper performance of the functions of the agencies, including whether
the information will have practical utility;
(b) The accuracy of the agencies' estimate of the burden of the
collection of information and the validity of the methodology and
assumptions used;
(c) Ways to enhance the quality, utility, and clarity of the
information to be collected; and
(d) Ways to minimize the burden of the collection of information on
respondents, including through the use of appropriate automated,
electronic, mechanical, or other collection techniques or other forms
of information technology.
``Burden'' means the total time, effort, and financial resources
expended by persons to generate, maintain, retain, disclose, or provide
information to or for a Federal agency. This includes the time needed
to review instructions; to develop, acquire, install, and use
technology and systems for the purposes of collecting, validating, and
verifying information, processing and maintaining information, and
disclosing and providing information; to train personnel and to be able
to respond to a collection of information, to search data sources, and
to complete and review the collection of information; and to transmit
or otherwise disclose the information.
All written comments, with names and addresses, will be available
for public inspection. If you wish us to withhold your personal
information, you must prominently state at the beginning of your
comment what personal information you want us to withhold. We will
honor your request to the extent allowable by law. If you wish to view
any comments received, you may do so by using the contact information
in the ADDRESSES section above. A valid picture identification is
required for entry into the Department of the Interior.
Comments submitted in response to this notice will be summarized
and/or included in the request for OMB approval of this information
collection; they also will become a matter of public record.
An agency may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a
currently valid Office of Management and Budget control number.
Douglas A. Glenn,
Deputy Chief Financial Officer and Director, Office of Financial
Management, Department of the Interior.
[FR Doc. 2015-15350 Filed 6-22-15; 8:45 am]
BILLING CODE 4334-63-P