Mail-in Donation Form

Office of Gifts and Grants Management Donation Form

OMB: 0420-0564

IC ID: 226964

Information Collection (IC) Details

View Information Collection (IC)

Mail-in Donation Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PC-2143 B Mail-in Donation form 2.3 Mail-in Donation Form_Updated OIRA.rtf No   Paper Only

International Affairs and Commerce International Development and Humanitarian Aid

 

1,040 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,040 0 0 -11,960 13,000 0
Annual IC Time Burden (Hours) 173 0 0 -1,994 2,167 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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