[Federal Register Volume 80, Number 189 (Wednesday, September 30, 2015)]
[Notices]
[Pages 58772-58773]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24745]


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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, 
Department of the 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 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
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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 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.
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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: 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