30 Day Federal Register Notice - PUBLISHED

1090-0009 30 Day Notice Published 2015.pdf

Donor Certification Form

30 Day Federal Register Notice - PUBLISHED

OMB: 1090-0009

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58772

Federal Register / Vol. 80, No. 189 / Wednesday, September 30, 2015 / Notices

Council (OS/NISC), Regular Mail: 1849
C Street NW. (MS 3530), Washington,
DC 20240.
Dated: September 23, 2015.
Jamie K. Reaser,
Executive Director, Native Invasive Species
Council.
[FR Doc. 2015–24818 Filed 9–29–15; 8:45 am]
BILLING CODE 4334–63–P

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
Office of the Secretary, Office
of Financial Management, Department
of the Interior.
ACTION: Notice and request for
comments.
AGENCY:

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.

SUMMARY:

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 (OIRA_Submission@
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 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 Paul_Batlan@
ios.doi.gov. You may also review the
information collection request online at
http://www.reginfo.gov/public/do/
PRAMain.
DATES:

I. Abstract

SUPPLEMENTARY INFORMATION:

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

Name, and indication whether executing in 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.
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.

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 non-procurement common rule, or otherwise declared ineligible from doing business with any Federal 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.

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Signature, Printed Name, Date, Organization, Email address, City,
State, Zip, and daytime or work phone number.

II. Data
(1) Title: Donor Certification Form.
OMB Control Number: 1090–0009.
Current Expiration Date: September
30, 2015.

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Type of Review: Renewal of an
existing collection.
Affected Entities: Individuals or
households, Businesses, Not-for-profit
institutions, Tribal governments.

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Estimated annual number of
respondents: 250.
Frequency of response: Once per
prospective donor per year.

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Federal Register / Vol. 80, No. 189 / Wednesday, September 30, 2015 / Notices

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(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

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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

DEPARTMENT OF THE INTERIOR
Office of the Secretary
[15XD5141GM DGM000000.000000
6100.241A0 DN18000000]

Proposed Appointment to the National
Indian Gaming Commission
Office of the Secretary, Interior.
Notice.

AGENCY:
ACTION:

The Indian Gaming
Regulatory Act provides for a threeperson National Indian Gaming
Commission. One member, the Chair, is
appointed by the President with the
advice and consent of the Senate. Two
associate members are appointed by the
Secretary of the Interior. Before
appointing members, the Secretary is
required to provide public notice of a
proposed appointment and allow a
comment period. Notice is hereby given
of the proposed appointment of E.
Sequoyah Simermeyer as an associate
member of the National Indian Gaming
Commission for a term of 3 years.
DATES: Submit comments on or before
October 30, 2015.
SUMMARY:

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58773

Send comments to the
Director, Office of the Executive
Secretariat and Regulatory Affairs, U.S.
Department of the Interior, 1849 C Street
NW., Mail Stop 7328, Washington, DC
20240.
FOR FURTHER INFORMATION CONTACT: Mr.
Michael Hoenig, National Indian
Gaming Commission, c/o Department of
the Interior, 1849 C Street NW., Mail
Stop 1621, Washington, DC 20240;
telephone (202) 632–7003; facsimile
(202) 632–7066.
SUPPLEMENTARY INFORMATION: The
Indian Gaming Regulatory Act, 25
U.S.C. 2701 et. seq., established the
National Indian Gaming Commission
(Commission), composed of three fulltime members. Commission members
serve for a term of 3 years. The Chair is
appointed by the President with the
advice and consent of the Senate. The
two associate members are appointed by
the Secretary of the Interior. Before
appointing an associate member to the
Commission, the Secretary is required to
‘‘publish in the Federal Register the
name and other information the
Secretary deems pertinent regarding a
nominee for membership on the
Commission and . . . allow a period of
not less than thirty days for receipt of
public comments.’’ See 25 U.S.C.
2704(b)(2)(B).
The Secretary proposes to appoint E.
Sequoyah Simermeyer as an associate
member of the Commission for a term of
3 years. Mr. Simermeyer is well
qualified to be a member of the National
Indian Gaming Commission by virtue of
his extensive background and
experience in a broad spectrum of
Native American issues.
In his current position at the United
States Senate Committee on Indian
Affairs, Mr. Simermeyer has provided
legislative proposals, committee reports,
and extensive briefing materials on
matters that impact Federal relations
with American Indians, Alaska Natives,
and tribal governments. He has further
experience serving as the deputy chief
of staff and counselor to the Assistant
Secretary for Indian Affairs. Mr.
Simermeyer has taught undergraduate
and graduate courses pertaining to
Indian law and leadership development,
and has served on the board of many
law associations, often serving as
president. His leadership and
community outreach has aided in the
educational and social service needs of
Native Americans.
Mr. Simermeyer’s wide experience in
community service, legal affairs, and
organizational administration make him
a highly qualified candidate for
membership on the National Indian
ADDRESSES:

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