80_FR_36091 80 FR 35971 - Proposed Renewal of Information Collection: OMB Control Number 1090-0009, Donor Certification Form

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)

Page Range35971-35972
FR Document2015-15350

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 Issue 120 (Tuesday, June 23, 2015)
[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.

-----------------------------------------------------------------------

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.

------------------------------------------------------------------------
         Information collected                Reason for collection
------------------------------------------------------------------------
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



                                                                                 Federal Register / Vol. 80, No. 120 / Tuesday, June 23, 2015 / Notices                                                35971

                                                    Documents and other information                         Dated: June 15, 2015.                                I. Abstract
                                                  submitted with this application are                     Jason Holm,
                                                  available for review by request from the                Regional Director, Pacific Region, U.S. Fish              This notice is for renewal of
                                                  Program Manager for Restoration and                     and Wildlife Service.                                  information collection.
                                                  Endangered Species Classification at the                [FR Doc. 2015–15396 Filed 6–22–15; 8:45 am]               The Office of Management and Budget
                                                  address listed in the ADDRESSES section                 BILLING CODE 4310–55–P                                 (OMB) regulations at 5 CFR part 1320,
                                                  of this notice, subject to the                                                                                 which implement the Paperwork
                                                  requirements of the Privacy Act                                                                                Reduction Act of 1995, 44 U.S.C. 3501
                                                  (5 U.S.C. 552a) and the Freedom of                      DEPARTMENT OF THE INTERIOR                             et seq., require that interested members
                                                  Information Act (5 U.S.C. 552).                                                                                of the public and affected agencies have
                                                                                                          Office of the Secretary                                an opportunity to comment on
                                                  Permit Number: TE–67121B
                                                                                                          [156D0102DM DS62200000                                 information collection and
                                                    Applicant: Pacific Rim Conservation,                  DLSN00000.000000 DX.62201]                             recordkeeping activities (see 5 CFR
                                                  Honolulu, Hawaii.                                                                                              1320.8 (d)).
                                                    The applicant requests a new permit                   Proposed Renewal of Information
                                                                                                          Collection: OMB Control Number                            This notice identifies an information
                                                  to take (survey, monitor, capture,                                                                             collection activity that the Office of
                                                  handle, weigh, measure, collect bio-                    1090–0009, Donor Certification Form
                                                                                                                                                                 Financial Management will submit to
                                                  samples, band, translocate, captive                     AGENCY: Office of the Secretary, Office                OMB for approval for the Department
                                                  propagate, and release) Hawaiian dark-                  of Financial Management, Interior.                     and its bureaus to continue to collect
                                                  rumped petrel chicks (Pterodroma                        ACTION: Notice and request for                         information from proposed donors
                                                  phaeopygia sandwichensis) in Hawaii,                    comments.                                              relative to their relationship(s) with the
                                                  in conjunction with establishing a new                                                                         Department. The Department and its
                                                  breeding colony, for the purpose of                     SUMMARY:   In compliance with the                      individual bureaus have gift acceptance
                                                  enhancing the species’ survival.                        Paperwork Reduction Act of 1995, the                   authorities. In support of the variety of
                                                                                                          Office of Financial Management, Office                 donation authorities in the Department
                                                  Public Availability of Comments                         of the Secretary, Department of the                    and increasing numbers of donations, it
                                                    All comments and materials we                         Interior announces the proposed                        is the policy of the Department to ask
                                                  receive in response to this request will                extension of a public information                      those proposing to donate gifts valued at
                                                  be available for public inspection, by                  collection and seeks public comments                   $25,000 or more to provide information
                                                  appointment, during normal business                     on the provisions thereof.                             regarding their relationship with the
                                                  hours at the address listed in the                      DATES: Consideration will be given to all              Department. The purpose of this policy
                                                  ADDRESSES section.                                      comments received by August 24, 2015.                  is to ensure that the acceptance of a gift
                                                    Before including your address, phone                  ADDRESSES: Send your written                           does not create legal or ethical issues for
                                                  number, email address, or other                         comments to Paul Batlan, Office of                     the Department, its bureaus, or potential
                                                  personal identifying information in your                Financial Management, 1849 C St. NW.,                  donors. The information will be
                                                  comment, you should be aware that                       MS 2557 MIB, Washington, DC 20240,                     gathered through the use of a form that
                                                  your entire comment—including your                      or email him at Paul_Batlan@                           collects information relevant to the
                                                  personal identifying information—may                    ios.doi.gov. Individuals providing                     acceptability of the proposed donation
                                                  be made publicly available at any time.                 comments should reference the ‘‘Donor                  in conformance with the Department’s
                                                  While you can ask us in your comment                    Certification Form, OMB Control                        donations policy. The form is completed
                                                  to withhold your personal identifying                   Number 1090–0009’’.                                    and certified by the prospective donor
                                                  information from public review, we                      FOR FURTHER INFORMATION CONTACT: To                    then submitted to the Department or its
                                                  cannot guarantee that we will be able to                request a copy of the information                      bureau for review. Having the donor
                                                  do so.                                                  collection request, any explanatory                    certify his or her interactions with the
                                                                                                          information and related forms, see the                 Department gives the staff vetting the
                                                  Authority                                               contact information provided in the                    proposed donation basic information to
                                                    We provide this notice under section                  ADDRESSES section above.                               be verified, resulting in a more efficient
                                                  10 of the Act (16 U.S.C. 1531 et seq.).                 SUPPLEMENTARY INFORMATION:                             and timely donation review process.

                                                                              Information collected                                                              Reason for collection

                                                  Name, and indication whether executing in individual capacity, or on                 To identify the donor, and whether the donor is acting individually or on
                                                    behalf of an organization.                                                           behalf of an organization.
                                                  Declaration whether the donor is involved with litigation or controversy             To assist the Department in determining whether there are any issues
                                                    with the Department.                                                                 associated with the proffer of the gift that need to be more closely
                                                                                                                                         examined.
                                                  Declaration whether the donor is engaged in any financial or business                To assist the Department in determining whether there are any issues
                                                    relationship with the Department.                                                    associated with the proffer of the gift that need to be more closely
                                                                                                                                         examined.
                                                  Declaration whether the donor has been debarred, excluded or dis-                    To assist the Department in determining whether there are any issues
                                                    qualified from the non-procurement common rule, or otherwise de-                     associated with the proffer of the gift that need to be more closely
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                                                    clared ineligible from doing business with any Federal agency.                       examined.
                                                  Declaration as to whether the donation is expected to be involved with               To assist the Department in determining whether there are any issues
                                                    marketing or advertising.                                                            associated with the proffer of the gift that need to be more closely
                                                                                                                                         examined.
                                                  Declaration whether the donor is seeking to attach conditions to the do-             To assist the Department in determining whether there are any issues
                                                    nation.                                                                              associated with the proffer of the gift that need to be more closely
                                                                                                                                         examined.




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                                                  35972                          Federal Register / Vol. 80, No. 120 / Tuesday, June 23, 2015 / Notices

                                                                              Information collected                                                              Reason for collection

                                                  Declaration whether this proposed donation is or is not part of a series             To assist the Department in determining the scope and context of the
                                                    of donations to the Department.                                                      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, Organization, Email address, City,                    To establish the contact information of the potential donor, and have
                                                    State, Zip, and daytime or work phone number.                                        the certifier sign the certification form.



                                                  II. Data                                                persons to generate, maintain, retain,                 DEPARTMENT OF THE INTERIOR
                                                     (1) Title: Donor Certification Form.                 disclose, or provide information to or
                                                     OMB Control Number: 1090–0009.                       for a Federal agency. This includes the                National Park Service
                                                     Current Expiration Date: September                   time needed to review instructions; to                 [NPS–MWR–OZAR–17614;PPMWMWROW2/
                                                  30, 2015.                                               develop, acquire, install, and use                     PPM00UP05.YP0000]
                                                     Type of Review: Information                          technology and systems for the purposes
                                                  Collection Renewal.                                     of collecting, validating, and verifying               Notice of Availability of a Record of
                                                     Affected Entities: Individuals or                    information, processing and                            Decision on the Final General
                                                  households, Businesses, Not-for-profit                  maintaining information, and disclosing                Management Plan/Environmental
                                                  institutions, Tribal governments.                       and providing information; to train                    Impact Statement, Ozark National
                                                     Estimated annual number of                                                                                  Scenic Riverway, Missouri
                                                                                                          personnel and to be able to respond to
                                                  respondents: 250.
                                                     Frequency of responses: Once per                     a collection of information, to search                 AGENCY:   National Park Service, Interior.
                                                  prospective donation.                                   data sources, and to complete and
                                                                                                                                                                 ACTION:   Notice of availability.
                                                     (2) Annual reporting and                             review the collection of information;
                                                  recordkeeping burden:                                   and to transmit or otherwise disclose                  SUMMARY:    The National Park Service
                                                     Total annual reporting per response:                 the information.                                       (NPS) announces the availability of the
                                                  20 minutes.                                               All written comments, with names                     Record of Decision (ROD) for the Final
                                                     Total number of estimated responses:                 and addresses, will be available for                   General Management Plan/
                                                  250.                                                                                                           Environmental Impact Statement (GMP/
                                                     Total annual reporting: 84 hours.                    public inspection. If you wish us to
                                                                                                          withhold your personal information,                    EIS), Ozark National Scenic Riverways
                                                     (3) Description of the need and use of                                                                      (Riverways), Missouri.
                                                  the information: This information will                  you must prominently state at the
                                                                                                          beginning of your comment what                         ADDRESSES: Copies of the ROD are
                                                  provide Department staff with the basis
                                                  for beginning the evaluation as to                      personal information you want us to                    available by request by writing to
                                                  whether the Department will accept the                  withhold. We will honor your request to                Superintendent, Ozark National Scenic
                                                  proposed donation. The authorized                       the extent allowable by law. If you wish               Riverways, 404 Watercress Drive, P.O.
                                                  employee will receive the donor                         to view any comments received, you                     Box 490, Van Buren, Missouri 63965.
                                                  certification form with the proposed                    may do so by using the contact                         The document is also available on the
                                                  donation. The employee will then                                                                               internet at the NPS Planning,
                                                                                                          information in the ADDRESSES section
                                                  review the totality of circumstances                                                                           Environment, and Public Comment Web
                                                                                                          above. A valid picture identification is
                                                  surrounding the proposed donation to                                                                           site at: http://www.park
                                                                                                          required for entry into the Department                 planning.nps.gov/.
                                                  determine whether the Department can                    of the Interior.
                                                  accept the donation and maintain its                                                                           FOR FURTHER INFORMATION CONTACT:
                                                  integrity, impartiality, and public                       Comments submitted in response to                    Superintendent Bill Black at the address
                                                  confidence.                                             this notice will be summarized and/or                  above, or by telephone at 573–323–
                                                                                                          included in the request for OMB                        4236.
                                                  III. Request for Comments                               approval of this information collection;
                                                                                                                                                                 SUPPLEMENTARY INFORMATION:      On
                                                     The Departments invite comments on:                  they also will become a matter of public
                                                     (a) Whether the collection of                                                                               January 22, 2015, the Acting Regional
                                                                                                          record.
                                                  information is necessary for the proper                                                                        Director for the Midwest Region signed
                                                                                                            An agency may not conduct or                         the ROD for the Final GMP/EIS, thereby
                                                  performance of the functions of the
                                                                                                          sponsor, and a person is not required to               approving it. As soon as practicable, the
                                                  agencies, including whether the
                                                                                                          respond to, a collection of information                Riverways will begin the
                                                  information will have practical utility;
                                                     (b) The accuracy of the agencies’                    unless it displays a currently valid                   implementation of the selected
                                                  estimate of the burden of the collection                Office of Management and Budget                        alternative B (the preferred alternative)
                                                  of information and the validity of the                  control number.                                        as described in the final GMP/EIS.
                                                  methodology and assumptions used;                                                                              Alternative B will enhance
                                                                                                          Douglas A. Glenn,                                      opportunities for visitors to discover
                                                     (c) Ways to enhance the quality,
                                                                                                          Deputy Chief Financial Officer and Director,           and learn about the natural wonders and
                                                  utility, and clarity of the information to
                                                                                                          Office of Financial Management, Department             Ozark heritage of the National
                                                  be collected; and
                                                                                                          of the Interior.                                       Riverways, while maintaining a mix of
                                                     (d) Ways to minimize the burden of
                                                                                                          [FR Doc. 2015–15350 Filed 6–22–15; 8:45 am]
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  the collection of information on                                                                               traditional recreational and commercial
                                                  respondents, including through the use                  BILLING CODE 4334–63–P                                 activities. Emphasis will be placed on
                                                  of appropriate automated, electronic,                                                                          increasing opportunities for visitor
                                                  mechanical, or other collection                                                                                education and connections to natural
                                                  techniques or other forms of information                                                                       resources and cultural landscapes.
                                                  technology.                                                                                                       This alternative focuses on providing
                                                     ‘‘Burden’’ means the total time, effort,                                                                    a balance of diverse recreational
                                                  and financial resources expended by                                                                            opportunities and visitor experiences


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Document Created: 2018-02-22 11:15:22
Document Modified: 2018-02-22 11:15:22
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice and request for comments.
DatesConsideration will be given to all comments received by August 24, 2015.
ContactTo request a copy of the information collection request, any explanatory information and related forms, see
FR Citation80 FR 35971 

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