Information Collection

Government, Corporate or Foundation, and Individual Donor Form Applications

IC 214454 under ICR 202011-1405-001 · OMB 1405-0218.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0218 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4271 Government, Corporate or Foundation, and Individual Donor Form Applications	Form and Instruction
DS-4271 Donor Form - Government DS-4271 - Government.pdf	Form and Instruction
DS-4272 Donor Form - Corporate or Foundation DS-4272 - Corporate or Foundation.pdf	Form and Instruction
DS-4273 Donor Form - Individual DS-4273 - Individual.pdf	Form and Instruction
DS-4271 Donor Form - Government ds4271.pdf	Form and Instruction
DS-4272 Donor Form - Corporate or Foundation ds4272.pdf	Form and Instruction
DS-4273 Donor Form - Individual ds4273.pdf	Form and Instruction

IC Title:

Government, Corporate or Foundation, and Individual Donor Form Applications

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 22 CFR Part 3 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-4271	Donor Form - Government	ds4271.pdf	Yes	No	Fillable Printable
Form and Instruction	DS-4272	Donor Form - Corporate or Foundation	ds4272.pdf	Yes	No	Fillable Printable
Form and Instruction	DS-4273	Donor Form - Individual	ds4273.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Property Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,079

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,079	-254	4,333
Annual IC Time Burden (Hours)	680	319	361
Annual IC Cost Burden (Dollars)	2,243	120	2,123

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.