80 FR 35971 - Proposed Renewal of Information Collection: OMB Control Number 1090-0009, Donor Certification Form

DEPARTMENT OF THE INTERIOR
Office of the Secretary

Federal Register Volume 80, Issue 120 (June 23, 2015)

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.

[Federal Register Volume 80, Number 120 (Tuesday, June 23, 2015)]
[Notices]
[Pages 35971-35972]
From the Federal Register Online  [www.thefederalregister.org]
[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.
------------------------------------------------------------------------

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