80 FR 58772 - 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 189 (September 30, 2015)
Office of the Secretary
Federal Register Volume 80, Issue 189 (September 30, 2015)
| Page Range | 58772-58773 | |
| FR Document | 2015-24745 |
[Federal Register Volume 80, Number 189 (Wednesday, September 30, 2015)] [Notices] [Pages 58772-58773] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-24745] ----------------------------------------------------------------------- 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, Department of the 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 has submitted a request for renewal of this information collection to the Office of Management and Budget (OMB), and requests public comments on this submission. DATES: OMB has up to 60 days to approve or disapprove the information collection request, but may respond after 30 days; therefore, public comments should be submitted to OMB by October 30, 2015, in order to be assured of consideration. ADDRESSES: Send your written comments by facsimile (202) 395-5806 or email ([email protected]) to the Office of Information and Regulatory Affairs, Office of Management and Budget, Attention: Department of the Interior Desk Officer (1090-0009). Also, please send a copy of your 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: Requests for additional information or copies of the Information Collection Request or the Donor Certification Form, should be directed to Paul Batlan, Office of Financial Management, 1849 C St. NW., MS 2557 MIB, Washington, DC 20240, or email him at [email protected]. You may also review the information collection request online at http://www.reginfo.gov/public/do/PRAMain. SUPPLEMENTARY INFORMATION: I. Abstract This notice identifies an information collection activity that the Office of Financial Management has submitted 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. The information collected is as follows: ------------------------------------------------------------------------ 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 agency. to be more closely examined. 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. 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: Renewal of an existing collection. Affected Entities: Individuals or households, Businesses, Not-for- profit institutions, Tribal governments. Estimated annual number of respondents: 250. Frequency of response: Once per prospective donor per year. [[Page 58773]] (2) Annual reporting and record keeping burden. Total Annual Reporting per Respondent: 20 minutes. Total Annual Burden Hours: 83 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 in advance of accepting 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. (4) As required under 5 CFR 1320.8(d), a Federal Register notice soliciting comments on the collection of information was published on June 23, 2015 (80 FR 35971). No comments were received. This notice provides the public with an additional 30 days in which to comment on the following information collection activity. III. Request for Comments The Department of the Interior invites comments on: (a) Whether the collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; (b) The accuracy of the agency's estimate of the burden of the collection 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 those who are to respond, 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, or 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 utilize technology and systems for the purpose 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, to complete and review the collection of information; and to transmit or otherwise disclose the information. It is our policy to make all comments available to the public for review. Before including Personally Identifiable Information (PII), such as your address, phone number, email address, or other personal information in your comment(s), you should be aware that your entire comment (including PII) may be made available to the public at any time. While you may ask us in your comment to withhold PII from public view, we cannot guarantee that we will be able to do so. If you wish to view any comments received, you may do so by scheduling an appointment via the contact information provided in the ADDRESSES section. A valid picture identification is required for entry into the Department of the Interior, 1849 C Street NW., Washington, DC 20240. 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. Dated: September 25, 2015. Douglas A. Glenn, Deputy Chief Financial Officer and Director, Office of Financial Management, Department of the Interior. [FR Doc. 2015-24745 Filed 9-29-15; 8:45 am] BILLING CODE 4334-63-P
![58772 Federal Register / Vol. 80, No. 189 / Wednesday, September 30, 2015 / Notices
Council (OS/NISC), Regular Mail: 1849 DATES: OMB has up to 60 days to I. Abstract
C Street NW. (MS 3530), Washington, approve or disapprove the information
DC 20240. collection request, but may respond This notice identifies an information
after 30 days; therefore, public collection activity that the Office of
Dated: September 23, 2015. Financial Management has submitted to
Jamie K. Reaser,
comments should be submitted to OMB
by October 30, 2015, in order to be OMB for approval for the Department
Executive Director, Native Invasive Species and its bureaus to continue to collect
Council.
assured of consideration.
information from proposed donors
[FR Doc. 2015–24818 Filed 9–29–15; 8:45 am] ADDRESSES: Send your written
relative to their relationship(s) with the
comments by facsimile (202) 395–5806
BILLING CODE 4334–63–P Department. The Department and its
or email (OIRA_Submission@
individual bureaus have gift acceptance
omb.eop.gov) to the Office of
authorities. In support of the variety of
DEPARTMENT OF THE INTERIOR Information and Regulatory Affairs,
donation authorities in the Department
Office of Management and Budget,
and increasing numbers of donations, it
Office of the Secretary Attention: Department of the Interior
is the policy of the Department to ask
Desk Officer (1090–0009). Also, please
those proposing to donate gifts valued at
[156D0102DM DS62200000 DLSN00000. send a copy of your comments to Paul
$25,000 or more to provide information
000000 DX.62201] Batlan, Office of Financial Management,
regarding their relationship with the
1849 C St. NW., MS 2557 MIB,
Department. The purpose of this policy
Proposed Renewal of Information Washington, DC 20240, or email him at
is to ensure that the acceptance of a gift
Collection: OMB Control Number Paul_Batlan@ios.doi.gov. Individuals
does not create legal or ethical issues for
1090–0009, Donor Certification Form providing comments should reference
the Department, its bureaus, or potential
the ‘‘Donor Certification Form, OMB
AGENCY: Office of the Secretary, Office donors. The information will be
Control Number 1090–0009’’.
of Financial Management, Department gathered through the use of a form that
FOR FURTHER INFORMATION CONTACT: collects information relevant to the
of the Interior.
Requests for additional information or acceptability of the proposed donation
ACTION: Notice and request for copies of the Information Collection
comments. in conformance with the Department’s
Request or the Donor Certification Form, donations policy. The form is completed
SUMMARY: In compliance with the should be directed to Paul Batlan, Office and certified by the prospective donor
Paperwork Reduction Act of 1995, the of Financial Management, 1849 C St. then submitted to the Department or its
Office of Financial Management, Office NW., MS 2557 MIB, Washington, DC bureau for review. Having the donor
of the Secretary, Department of the 20240, or email him at Paul_Batlan@ certify his or her interactions with the
Interior has submitted a request for ios.doi.gov. You may also review the Department gives the staff vetting the
renewal of this information collection to information collection request online at proposed donation basic information to
the Office of Management and Budget http://www.reginfo.gov/public/do/ be verified, resulting in a more efficient
(OMB), and requests public comments PRAMain. and timely donation review process.
on this submission. SUPPLEMENTARY INFORMATION: The information collected is as follows:
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
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.
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.
mstockstill on DSK4VPTVN1PROD with NOTICES
II. Data Type of Review: Renewal of an Estimated annual number of
existing collection. respondents: 250.
(1) Title: Donor Certification Form.
OMB Control Number: 1090–0009. Affected Entities: Individuals or Frequency of response: Once per
Current Expiration Date: September households, Businesses, Not-for-profit prospective donor per year.
30, 2015. institutions, Tribal governments.
VerDate Sep<11>2014 18:27 Sep 29, 2015 Jkt 235001 PO 00000 Frm 00071 Fmt 4703 Sfmt 4703 E:\FR\FM\30SEN1.SGM 30SEN1](https://thefederalregister.org/doc/80_FR_58961/page/1.svg)
![Federal Register / Vol. 80, No. 189 / Wednesday, September 30, 2015 / Notices 58773
(2) Annual reporting and record transmit or otherwise disclose the ADDRESSES: Send comments to the
keeping burden. information. Director, Office of the Executive
Total Annual Reporting per It is our policy to make all comments Secretariat and Regulatory Affairs, U.S.
Respondent: 20 minutes. available to the public for review. Before Department of the Interior, 1849 C Street
Total Annual Burden Hours: 83 including Personally Identifiable NW., Mail Stop 7328, Washington, DC
hours. Information (PII), such as your address, 20240.
(3) Description of the need and use of phone number, email address, or other FOR FURTHER INFORMATION CONTACT: Mr.
the information: This information will personal information in your Michael Hoenig, National Indian
provide Department staff with the basis comment(s), you should be aware that Gaming Commission, c/o Department of
for beginning the evaluation as to your entire comment (including PII) the Interior, 1849 C Street NW., Mail
whether the Department will accept the may be made available to the public at Stop 1621, Washington, DC 20240;
proposed donation. The authorized any time. While you may ask us in your telephone (202) 632–7003; facsimile
employee will receive the donor comment to withhold PII from public (202) 632–7066.
certification form in advance of view, we cannot guarantee that we will SUPPLEMENTARY INFORMATION: The
accepting the proposed donation. The be able to do so. Indian Gaming Regulatory Act, 25
employee will then review the totality If you wish to view any comments U.S.C. 2701 et. seq., established the
of circumstances surrounding the received, you may do so by scheduling National Indian Gaming Commission
proposed donation to determine an appointment via the contact (Commission), composed of three full-
whether the Department can accept the information provided in the ADDRESSES time members. Commission members
donation and maintain its integrity, section. A valid picture identification is serve for a term of 3 years. The Chair is
impartiality, and public confidence. required for entry into the Department
(4) As required under 5 CFR appointed by the President with the
of the Interior, 1849 C Street NW., advice and consent of the Senate. The
1320.8(d), a Federal Register notice Washington, DC 20240.
soliciting comments on the collection of two associate members are appointed by
An agency may not conduct or the Secretary of the Interior. Before
information was published on June 23, sponsor, and a person is not required to
2015 (80 FR 35971). No comments were appointing an associate member to the
respond to, a collection of information Commission, the Secretary is required to
received. This notice provides the unless it displays a currently valid
public with an additional 30 days in ‘‘publish in the Federal Register the
Office of Management and Budget name and other information the
which to comment on the following control number.
information collection activity. Secretary deems pertinent regarding a
Dated: September 25, 2015. nominee for membership on the
III. Request for Comments Douglas A. Glenn, Commission and . . . allow a period of
The Department of the Interior invites Deputy Chief Financial Officer and Director, not less than thirty days for receipt of
comments on: Office of Financial Management, Department public comments.’’ See 25 U.S.C.
(a) Whether the collection of of the Interior. 2704(b)(2)(B).
information is necessary for the proper [FR Doc. 2015–24745 Filed 9–29–15; 8:45 am] The Secretary proposes to appoint E.
performance of the functions of the BILLING CODE 4334–63–P Sequoyah Simermeyer as an associate
agency, including whether the member of the Commission for a term of
information will have practical utility; 3 years. Mr. Simermeyer is well
(b) The accuracy of the agency’s DEPARTMENT OF THE INTERIOR qualified to be a member of the National
estimate of the burden of the collection Indian Gaming Commission by virtue of
and the validity of the methodology and Office of the Secretary his extensive background and
assumptions used; experience in a broad spectrum of
[15XD5141GM DGM000000.000000
(c) Ways to enhance the quality, 6100.241A0 DN18000000] Native American issues.
utility, and clarity of the information to In his current position at the United
be collected; and Proposed Appointment to the National States Senate Committee on Indian
(d) Ways to minimize the burden of Indian Gaming Commission Affairs, Mr. Simermeyer has provided
the collection of information on those legislative proposals, committee reports,
who are to respond, including through AGENCY: Office of the Secretary, Interior. and extensive briefing materials on
the use of appropriate automated, ACTION: Notice. matters that impact Federal relations
electronic, mechanical, or other with American Indians, Alaska Natives,
collection techniques or other forms of SUMMARY: The Indian Gaming and tribal governments. He has further
information technology. Regulatory Act provides for a three- experience serving as the deputy chief
‘‘Burden’’ means the total time, effort, person National Indian Gaming of staff and counselor to the Assistant
or financial resources expended by Commission. One member, the Chair, is Secretary for Indian Affairs. Mr.
persons to generate, maintain, retain, appointed by the President with the Simermeyer has taught undergraduate
disclose, or provide information to or advice and consent of the Senate. Two and graduate courses pertaining to
for a federal agency. This includes the associate members are appointed by the Indian law and leadership development,
time needed to review instructions; to Secretary of the Interior. Before and has served on the board of many
develop, acquire, install and utilize appointing members, the Secretary is law associations, often serving as
technology and systems for the purpose required to provide public notice of a president. His leadership and
proposed appointment and allow a
mstockstill on DSK4VPTVN1PROD with NOTICES
of collecting, validating and verifying community outreach has aided in the
information, processing and comment period. Notice is hereby given educational and social service needs of
maintaining information, and disclosing of the proposed appointment of E. Native Americans.
and providing information; to train Sequoyah Simermeyer as an associate Mr. Simermeyer’s wide experience in
personnel and to be able to respond to member of the National Indian Gaming community service, legal affairs, and
a collection of information, to search Commission for a term of 3 years. organizational administration make him
data sources, to complete and review DATES: Submit comments on or before a highly qualified candidate for
the collection of information; and to October 30, 2015. membership on the National Indian
VerDate Sep<11>2014 18:27 Sep 29, 2015 Jkt 235001 PO 00000 Frm 00072 Fmt 4703 Sfmt 4703 E:\FR\FM\30SEN1.SGM 30SEN1](https://thefederalregister.org/doc/80_FR_58961/page/2.svg)
Document Created: 2015-12-15 09:32:04
Document Modified: 2015-12-15 09:32:04
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice and request for comments. | |
| Dates | OMB has up to 60 days to approve or disapprove the information collection request, but may respond after 30 days; therefore, public comments should be submitted to OMB by October 30, 2015, in order to be assured of consideration. | |
| Contact | Requests for additional information or copies of the Information Collection Request or the Donor Certification Form, should be directed to Paul Batlan, Office of Financial Management, 1849 C St. NW., MS 2557 MIB, Washington, DC 20240, or email him at [email protected] You may also review the information collection request online at http://www.reginfo.gov/public/do/PRAMain. | |
| FR Citation | 80 FR 58772 |
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