Applicant's Certification that it Does not Support Terrorist Organizations or Individuals

Forms and Documents

Document Name	Status
OMB - Supporting Statement - Applicant Certification 0412-0565 - 2010.doc Supporting Statement A	2010-10-15

IC Document Collections

IC ID	Document Title	Status
886	Applicant's Certification that it Does not Support Terrorist Organizations or Individuals Other-Certification	Modified

ICR Details

OMB Control No: 0412-0565	ICR Reference No: 201010-0412-001
Status: Historical Inactive	Previous ICR Reference No: 200702-0412-005
Agency/Subagency: AID	Agency Tracking No:
Title: Applicant's Certification that it Does not Support Terrorist Organizations or Individuals
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 12/13/2010
	Date Received in OIRA: 10/29/2010
Terms of Clearance: This information collection is withdrawn due to incorrect supporting documentation being provided for public comment.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	36 Months From Approved	08/31/2011
Responses	4,000	0	4,000
Time Burden (Hours)	1,500	0	1,500
Cost Burden (Dollars)	93,000	0	93,000

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Abstract: USAID works in countries around the world where terrorist organizations are based. Federal Law requires that neither the Agency or recipients of USAID assistance provide material support and resources to terrorist organizations or individuals. This certification is these requirements. Respondents will be U.S. and non-U.S. non-governmental organizations and individuals who are applying for assistance programs financed by USAID.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 39204	07/08/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 66724	10/29/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Applicant's Certification that it Does not Support Terrorist Organizations or Individuals

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $33,265

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/29/2010

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