Aligned Capital Investor Screener

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DFC‐009 Aligned Capital Investor Screener	Form and Instruction	New	Available
DFC-009 - OPIC Response to Public Comments (Accountability Counsel et al) - 06-06-2019.pdf	Supplementary Document	Uploaded 2019-06-28	Available
DFC-009 - 83-I Questionnaire - SIGNED.pdf	Supporting Statement B	Uploaded 2019-06-28	Available
DFC-009 - Supporting Statement.pdf	Supporting Statement A	Uploaded 2019-06-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236745	Aligned Capital Investor Screener	Form and Instruction	New	Aligned Capital Investor Screener

ICR Details

OMB Control No: 3015-0002	ICR Reference No: 201906-3015-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DFC	Agency Tracking No: DFC‐009
Title: Aligned Capital Investor Screener
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/05/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/02/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	17	0	0
Cost Burden (Dollars)	1,238	0	0

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Abstract: The Aligned Capital Investor Screener is a document used to screen potential investors interested in participating in the agency’s Aligned Capital Program and, if they qualify, to place their information in the program. The Aligned Capital Program is designed to align development finance with other capital, including philanthropic, socially responsible and impact investment, to enable effective deployment of that capital towards projects in the countries and sectors in which the agency works. In order to participate, investors must meet the specified criteria.

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Authorizing Statute(s): PL: Pub.L. 115 - 254 1401 Name of Law: The Better Utilization of Investments Leading to Development Act of 2018 (the “BUILD Act”)
  

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:
	84 FR 10843	03/22/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 29249	06/21/2019
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Aligned Capital Investor Screener	DFC‐009	Aligned Capital Investor Screener

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	50	0	0	50	0	0
Annual Time Burden (Hours)	17	0	0	17	0	0
Annual Cost Burden (Dollars)	1,238	0	0	1,238	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $0

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 07/02/2019

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