Call-in Donation Form

Office of Gifts and Grants Management Donation Form

Documents and Forms

Document Name Document Type
Form PC-2143 C Call-in Donation Form Form
PC-2143 C Call-in Donation Form 2.2 Call-in Donation Form_Updated.doc Form
PC-2143 C Call-in Donation Form 2.2 Call-in Donation Form_Updated.doc Form

Information Collection (IC) Details

IC Title:	Call-in Donation Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PC-2143 C	Call-in Donation Form	2.2 Call-in Donation Form_Updated.doc		No		Paper Only

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-130	130
Annual IC Time Burden (Hours)	-22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.