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60-Day Notice of Proposed Information Collection: Individual, Corporate or Foundation, and Government Donor Letter Applications

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Notice of request for public comment.


The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. In accordance with the Paperwork Reduction Act of 1995, we are requesting comments on this collection from all interested individuals and organizations. The purpose of this notice is to allow 60 days for public comment preceding submission of the collection to OMB.


The Department will accept comments from the public up to September 5, 2017.


You may submit comments by any of the following methods:

  • Web: Persons with access to the Internet may comment on this notice by going to You can search for the document by entering “Docket Number: DOS-2017-0027” in the Search field. Then click the “Comment Now” button and complete the comment form.
  • Email:
  • Regular Mail: Send written comments to: M/EDCS Room 7427B, 2201 C Street, Washington, DC 20520.

You must include the DS form number (if applicable), information collection title, and the OMB control number in any correspondence.

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Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed collection instrument and supporting documents, to Chanel Wallace, who may be reached on (202) 647-7730 or at

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  • Title of Information Collection: Individual, Corporate or Foundation and Government Donor Letter Application.
  • OMB Control Number: 1405-0218.
  • Type of Request: Extension of a Currently Approved Collection.
  • Originating Office: Office of Emergencies in the Diplomatic and Consular Service (M/EDCS).
  • Form Number: DS-4273, DS-4272 and DS-4271.
  • Respondents: Individuals, Corporations, or Foundations that make donations to the Department.Start Printed Page 31387
  • Estimated Number of Respondents: 4,333.
  • Estimated Number of Responses: 4,333.
  • Average Time per Response: 5 minutes per response.
  • Total Estimated Burden Time: 361 hours.
  • Frequency: On occasion.
  • Obligation to Respond: Mandatory.

We are soliciting public comments to permit the Department to:

  • Evaluate whether the proposed information collection is necessary for the proper functions of the Department.
  • Evaluate the accuracy of our estimate of the time and cost burden for this 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 information technology.

Please note that comments submitted in response to this Notice are public record. Before including any detailed personal information, you should be aware that your comments as submitted, including your personal information, will be available for public review.

Abstract of Proposed Collection

The Office of Emergencies in the Diplomatic and Consular Service (EDCS) manages the solicitation and acceptance of gifts to the U.S. Department of State. The information requested via donor letters is a necessary first step to accepting donations. The information is sought pursuant to 22 U.S.C. 2697, 5 U.S.C. 7324 and 22 CFR part 3) and will be used by EDCS's Gift Fund Coordinator to demonstrate the donor's intention to donate either an in-kind or monetary gift to the Department. This information is mandatory and must be completed before the gift is received by the Department.


The information collection forms will be available electronically via the State Department's Internet Web site (http://mydata.state.sbu). Donors can also complete hard-copies of the form and mail them to EDCS if internet access is not available.

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Frances Gidez,

Gift Funds and K Funds Coordinator, M/EDCS, Department of State.

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[FR Doc. 2017-14200 Filed 7-5-17; 8:45 am]