30-day FR notice

30-day FR notice.pdf

Donor Certification Form

30-day FR notice

OMB: 1090-0009

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Federal Register / Vol. 77, No. 137 / Tuesday, July 17, 2012 / Notices

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Washington, DC 20240. Send any faxed
comments to (202) 208–6112, Attn.
Ophelia Anderson. Comments may also
be emailed to
[email protected].
FOR FURTHER INFORMATION CONTACT:
Requests for additional information on
this information collection or its
Applicant Background Survey Form
should be directed to U.S. Department
of the Interior, Office of the Secretary,
Office of Civil Rights, Attn. Ophelia
Anderson 1849 C St. NW., MS 4309
MIB, Washington, DC 20240. You may
also request additional information by
telephone (202) 219–0805, or by email
at [email protected]. You
may also review the submitted ICR
online at http://www.reginfo.gov. Follow
the instructions to review Department of
the Interior collections under review by
OMB.
SUPPLEMENTARY INFORMATION:
I. Abstract
DOI is below parity with the Relevant
Civilian Labor Force representation for
many mission critical occupations. The
Department’s Strategic Human Capital
management Plan identifies the job
skills that will be needed in its current
and future workforce. The job skills it
will need are dispersed throughout its
eight bureaus and include, among
others, making visitors welcome to
various facilities, such as parks and
refuges, processing permits for a wide
variety of uses of the public lands,
collecting royalties for minerals
extracted from the public lands,
rounding-up and adopting-out wild
horses and burros found in the west,
protecting archeological and cultural
resources of the public lands, and
enforcing criminal laws of the United
States. As a result of this broad
spectrum of duties and services, the
Department touches the lives of most
Americans.
The people who deal with the
Department bring with them a wide
variety of backgrounds, cultures, and
experiences. A diverse workforce
enables the Department to provide a
measure of understanding to its
customers by relating to the diverse
background of those customers. By
including employees of all backgrounds,
all DOI employees gain a measure of
knowledge, background, experience,
and comfort in serving all of the
Department’s customers.
In order to determine if there are
barriers in our recruitment and selection
processes, DOI must track the
demographic groups that apply for its
jobs. There is no other statistically valid
method to make these determinations,

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and no source of this information other
than directly from applicants. The data
collected is not provided to selecting
officials and plays no part in the merit
staffing or the selection processes. The
data collected will be used in summary
form to determine trends covering the
demographic make-up of applicant
pools and job selections within a given
occupation or organizational group. The
records of those applicants not selected
are destroyed in accordance with DOI’s
records management procedures.
II. Data
(1) Title: Applicant Background
Survey.
OMB Control Number: 1091–0001.
Current Expiration Date: July 31,
2012.
Type of Review: Information
Collection Renewal.
Affected Entities: Applicants for DOI
jobs.
Estimated annual number of
respondents: 366,680.
Frequency of Response: Once per job
application.
(2) Annual reporting and record
keeping burden: Average reporting
burden per application: 1 minute.
Total annual reporting: 6111 hours.
(3) Description of the need and use of
the information: This information is
required to obtain the source of
recruitment, ethnicity, race, and
disability data on job applicants to
determine if the recruitment is
effectively reaching all aspects of
relevant labor pools and to determine if
there are proportionate acceptance rates
at various stages of the recruitment
process. Response is optional. The
information is used for evaluating
recruitment only, and plays no part in
the selection of who is hired.
As required under 5 CFR 1320.8(d), a
Federal Register notice soliciting
comments on the collection of
information was published on April 12,
2012 (77 FR 21992). One comment was
received. This notice provides the
public with an additional 30 days in
which to comment on this information
collection activity.
III. Request for Comments
Comments are invited on: (a) Whether
the collection of information is
necessary for the proper performance of
the agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed
information collection; (c) ways to
enhance the quality, utility and clarity
of the information to be collected; and
(d) ways to minimize the burden of the
information collection on respondents,

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including through the use of automated
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.
Before including your address, phone
number, email address, or other
personal identifying information in your
comment, you should be aware that
your entire comment, including your
personal identifying information, may
be made publicly available at any time.
While you can ask us in your comment
to withhold your personal identifying
information from public review, we
cannot guarantee that we will be able to
do so.
All written comments will be
available for public inspection in the
Main Interior Building, 1849 C Street,
NW., Washington, DC during normal
business hours, excluding legal
holidays. For an appointment to inspect
comments, please contact Ophelia
Anderson by telephone on (202) 219–
0805, or by email at
[email protected]. A valid
picture identification is required for
entry into the Department of the
Interior.
Sharon D. Eller,
Director, Office of Civil Rights, Office of the
Secretary.
[FR Doc. 2012–17405 Filed 7–16–12; 8:45 am]
BILLING CODE 4310–RE–P

DEPARTMENT OF THE INTERIOR
Office of the Secretary
Notice of Request for Renewal of
Information Collection for Donor
Certification Form
Office of Youth, Partnerships
and Service, Assistant Secretary—
Policy, Management and Budget,
Interior.
ACTION: Notice and request for
comments.
AGENCY:

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Federal Register / Vol. 77, No. 137 / Tuesday, July 17, 2012 / Notices
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 ([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 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
[email protected].
Additionally, you may fax them to her
at 202–208–4867. Individuals providing
comments should reference Donor
Certification Form.
SUMMARY:

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

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

Name, and indication whether executing in an individual capacity, or on
behalf of an organization.
Declaration whether the donor is involved with litigation or controversy
with the Department.

To identify the donor, and whether the donor is acting individually or on
behalf of an organization.
To assist the Department in determining whether there are any issues
associated with the proffer of the gift that need to be more closely
examined.
To assist the Department in determining whether there are any issues
associated with the proffer of the gift that need to be more closely
examined.
To assist the Department in determining whether there are any issues
associated with the proffer of the gift that need to be more closely
examined.

Declaration whether the donor is engaged in any financial or business
relationship with the Department.
Declaration whether the donor has been debarred, excluded or disqualified from the nonprocurement common rule, or otherwise declared ineligible from doing business with any Federal government
agency.
Declaration as to whether the donation is expected to be involved with
marketing or advertising.
Declaration whether the donor is seeking to attach conditions to the donation.
Declaration whether this proposed donation is or is not part of a series
of donations to the Department.
Signature, Printed Name, Date, Organization, Email address, City,
State, Zip, and daytime or work phone number.

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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

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To assist the Department in determining whether there are any issues
associated with the proffer of the gift that need to be more closely
examined.
To assist the Department in determining whether there are any issues
associated with the proffer of the gift that need to be more closely
examined.
To assist the Department in determining the scope and 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.
To establish the contact information of the potential donor, and have
the certifier sign the certification form.

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.

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

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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

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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]
BILLING CODE 4310–RK–P

DEPARTMENT OF THE INTERIOR
Bureau of Land Management
[LLWO3200000–L19900000.PP0000]

Revision of Approved Information
Collection
Bureau of Land Management,
Interior.
ACTION: 30-day notice and request for
comments.
AGENCY:

The Bureau of Land
Management (BLM) has submitted an
information collection request to the
Office of Management and Budget
(OMB) to revise the collection of
information from mining claimants who
seek a waiver from annual maintenance
fees. This information collection activity
is part of a collection that the Office of
Management and Budget (OMB) has
previously approved under the control
number 1004–0114.
DATES: The OMB is required to respond
to this information collection request
within 60 days but may respond after 30
SUMMARY:

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days. For maximum consideration,
written comments should be received
on or before August 16, 2012.
ADDRESSES: Please submit comments
directly to the Desk Officer for the
Department of the Interior (OMB #1004–
0114), Office of Management and
Budget, Office of Information and
Regulatory Affairs, fax 202–395–5806,
or by electronic mail at
[email protected]. Please
provide a copy of your comments to the
BLM. You may do so via mail, fax, or
electronic mail.
Mail: U.S. Department of the Interior,
Bureau of Land Management, 1849 C
Street NW., Room 2134LM, Attention:
Jean Sonneman, Washington, DC 20240.
Fax: to Jean Sonneman at 202–245–
0050.
Electronic mail:
[email protected].
Please indicate ‘‘Attn: 1004–0114’’
regardless of the form of your
comments.
FOR FURTHER INFORMATION CONTACT:

Sonia Santillan, at 202–912–7123.
Persons who use a telecommunication
device for the deaf (TDD) may call the
Federal Information Relay Service
(FIRS) at 1–800–877–8339, to leave a
message for Ms. Santillan. You may also
review the information collection
request online at http://
www.reginfo.gov/public/do/PRAMain.
SUPPLEMENTARY INFORMATION: The
Paperwork Reduction Act (44 U.S.C.
3501–3521) and OMB regulations at 5
CFR part 1320 provide that an agency
may not conduct or sponsor a collection
of information unless it displays a
currently valid OMB control number.
Until OMB approves a collection of
information, you are not obligated to
respond. In order to obtain and renew
an OMB control number, Federal
agencies are required to seek public
comment on information collection and
recordkeeping activities (see 5 CFR
1320.8(d) and 1320.12(a)).
As required at 5 CFR 1320.8(d), the
BLM published a 60-day notice in the
Federal Register on May 20, 2011 (76
FR 26263), and the comment period
ended July 19, 2011. The BLM received
no comments. The BLM now requests
comments on the following subjects:
1. Whether the collection of
information is necessary for the proper
functioning of the BLM, including
whether the information will have
practical utility;
2. The accuracy of the BLM’s estimate
of the burden of collecting the
information, including the validity of
the methodology and assumptions used;
3. The quality, utility and clarity of
the information to be collected; and

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