Notice of Request for Renewal of Information Collection for Donor Certification Form, 42000-42002 [2012-17407]

Agencies

• DEPARTMENT OF THE INTERIOR
• Office of the Secretary

[Federal Register Volume 77, Number 137 (Tuesday, July 17, 2012)]
[Notices]
[Pages 42000-42002]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-17407]


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DEPARTMENT OF THE INTERIOR

Office of the Secretary


Notice of Request for Renewal of Information Collection for Donor 
Certification Form

AGENCY: Office of Youth, Partnerships and Service, Assistant 
Secretary--Policy, Management and Budget, Interior.

ACTION: Notice and request for comments.

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[[Page 42001]]

SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of Youth, Partnerships and Service 
announces that it has submitted a request for renewal of an 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 August 16, 2012, in order to be 
assured of consideration.

ADDRESSES: Send your written comments by facsimile 202-395-5806 or 
email (OIRA_DOCKET@omb.eop.gov) 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 Olivia Ferriter, Office of Youth, 
Partnerships and Service, U.S. Department of the Interior, MS 3530-MIB, 
1849 C Street NW., Washington, DC 20240, or send an email to Olivia_Ferriter@ios.doi.gov. Additionally, you may fax them to her at 202-208-
4867. Individuals providing comments should reference Donor 
Certification Form.

FOR FURTHER INFORMATION CONTACT: To request more information on this 
information collection you may call Olivia Ferriter at 202-208-4881 or 
email her at Olivia_Ferriter@ios.doi.gov. You can see the entire 
information collection request as submitted to OMB at the Web site 
https://www.reginfo.gov. Follow the instructions to review Department of 
the Interior collections under review by OMB.

SUPPLEMENTARY INFORMATION: 

I. Abstract

    The OMB regulations at 5 CFR 1320, which implement the Paperwork 
Reduction Act of 1995 (Pub. L. 104-13), 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 Youth, Partnerships and Service has submitted to OMB for 
approval for the Department and its bureaus to collect information from 
proposed donors relative to their relationship(s) with the Department. 
The Department and its individual bureaus all have gift acceptance 
authority. 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 is gathered through 
the use of the Donor Certification Form, DI-3680.
    If this information were not collected from the prospective donor, 
the Department would have to collect the information. The information 
will be scattered throughout the Department. With nine major bureaus, 
2,500 locations and 70,000 employees, it is not possible to collect the 
information about a particular donor in a timely manner to respond to a 
proposed donation. Having the donor certify his interactions with the 
Department gives the staff reviewing the proposed donation basic 
information.

II. Method of Collection

    Individuals notifying the Department or one of its bureaus of a 
proposed offer of a gift valued at $25,000 or higher will be asked to 
submit a form listing several items of basic information.
    (1) Title: Donor Certification Form.

------------------------------------------------------------------------
         Information collected                Reason for collection
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Name, and indication whether executing   To identify the donor, and
 in an individual capacity, or on         whether the donor is acting
 behalf 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 nonprocurement 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.
 government 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.
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.
------------------------------------------------------------------------

    Use of the information: The information collected will be used by 
the Department and its bureaus to assist them in properly considering 
proposed donations to the Department or to its bureaus in the amount of 
$25,000 or more. The information on the form, in conjunction with other 
information which may be known to one or more offices in the 
Department, will assist the Department in its efforts to maintain its 
integrity, impartiality, and the confidence of the public, in accepting 
donations.

III. Data

    (1) Title: Donor Certification Form.
    OMB Control Number: 1090-0009.
    Type of Review: Renewal of current information collection approval.

[[Page 42002]]

    Affected Entities: Individuals, Businesses, Not-for-profit 
institutions, Tribal Governments.
    Estimated annual number of respondents: 552.
    Frequency of response: Upon donation, generally no more than 
annual.
    (2) Annual reporting and record keeping burden:
    Estimated number of responses annually: 552.
    Estimated burden per response: 20 minutes.
    Total annual reporting burden: 184 hours.
    (3) Description of the need and use of the information: This 
information provides 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.
    As required under 5 CFR 1320.8(d), a Federal Register notice 
soliciting comments on the collection of information was published on 
March 28, 2012 (77 FR 18850). No comments were received. This notice 
provides the public with an additional 30 days in which to comment on 
the proposed renewal of this information collection activity.

IV. 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.
    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 scheduling an appointment with 
the Office of Youth, Partnerships and Service at the above address. A 
valid picture identification is required for entry into the Department 
of the Interior.
    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 OMB control number.

Olivia Ferriter,
Office of Youth, Partnerships and Service.
[FR Doc. 2012-17407 Filed 7-16-12; 8:45 am]
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