[Federal Register Volume 69, Number 141 (Friday, July 23, 2004)]
[Notices]
[Pages 44071-44072]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-16859]


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DEPARTMENT OF STATE

[Public Notice: 4785]


60-Day Notice of Proposed Information Collection: DS 4053, 
Department of State Mentor-Protege Program Application, OMB Control 
Number 1405-XXXX

ACTION: Notice of request for public comments.

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SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the information collection described below. 
The purpose of this notice is to allow 60 days for public comment in 
the Federal Register preceding submission to OMB. We are conducting 
this process in accordance with the Paperwork Reduction Act of 1995.
     Title of Information Collection: Department of State 
Mentor-Protege Program Application.
     OMB Control Number: 1405-XXXX.
     Type of Request: New collection.
    Originating Office: Bureau of Administration, Office of Small and 
Disadvantaged Business Utilization--A/SDBU.
     Form Number: DS 4053.
     Respondents: Small and large for-profit companies planning 
to team together in an official mentor-protege capacity to improve the 
likelihood of winning DOS contracts.
     Estimated Number of Respondents: 20 respondents per year.
     Estimated Number of Responses: 10 per year.
     Average Hours Per Response: 21.
     Total Estimated Burden: 210.
     Frequency: On occasion.
     Obligation to Respond: Voluntary.

DATES: The Department will accept comments from the public up to 60 
days from July 23, 2004.

ADDRESSES: You may submit comments by any of the following methods:
     E-mail: [email protected]. You must include the DS form 
number, information collection title, and OMB control number in the 
subject line of your message.
     Mail (paper, disk, or CD-ROM submissions): A/SDBU, 
Patricia Culbreth, SA-6, Room L-500, Washington, DC 20522-0602.
     Fax: 703-875-6825.
     Hand Delivery or Courier: 1701 North Ft. Myer Drive, 
Arlington, Virginia 22209.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed information

[[Page 44072]]

collection and supporting documents, to Patricia Culbreth, A/SDBU, SA-
6, Room L-500, Washington, DC 20522-0602 who may be reached on 703-875-
6881. E-mail: [email protected].

SUPPLEMENTARY INFORMATION:
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper performance of our functions.
     Evaluate the accuracy of our estimate of the burden of the 
proposed collection, including the validity of the methodology and 
assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected.
     Minimize the reporting burden on those who are to respond, 
including the use of automated collection techniques or other forms of 
technology.
    Abstract of proposed collection:
     This information collection facilitates implementation of 
a mentor-protege program that encourages business agreements between 
small and large for-profit companies planning to team together in an 
official mentor-protege capacity to improve the likelihood of winning 
DOS contracts. Such a program should assist the State Department OSDBU 
office in reaching its small business goals.
    Methodology:
     Respondents may submit the information by e-mail using DS-
4053, or by letter using fax or postal mail.
    Additional Information: None.

    Dated: June 21, 2004.
Durie N. White,
Operations Director, Office of Small and Disadvantaged Business 
Utilization, Department of State.
[FR Doc. 04-16859 Filed 7-22-04; 8:45 am]
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