Partner Information Form (PIF)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form AID 500-13 PARTNER INFORMATION FORM	Form	Modified	Available
Form AID 500-13 Partner Information Form	Form	Modified	Available
Form AID 500-13 Partner Information Form	Form	Modified	Repair queued
AID 500-13 Partner Information Form (PIF) Feb 2024 -- for review.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2024-03-15	Repair queued
Supporting Statement 2023.docx.pdf	Supporting Statement A	Uploaded 2023-03-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257728	Partner Information Form	Form	Modified	PARTNER INFORMATION FORM
257728	Partner Information Form	Form	Modified	Partner Information Form
257728	Partner Information Form	Form	Modified

ICR Details

OMB Control No: 0412-0577	ICR Reference No: 202403-0412-001
Status: Historical Active	Previous ICR Reference No: 202301-0412-001
Agency/Subagency: AID	Agency Tracking No:
Title: Partner Information Form (PIF)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/10/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/15/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2026	04/30/2026	04/30/2026
Responses	3,600	0	3,600
Time Burden (Hours)	5,400	0	5,400
Cost Burden (Dollars)	0	0	0

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Abstract: USAID utilizes the Partner Information Form (AID 500-13, or PIF) in conjunction with the Partner Vetting System (PVS), its information technology (IT) system of records, to collect and maintain records for vetting purposes to help ensure that USAID funds, USAID-funded activities, or other resources will not be used to provide support to entities or individuals deemed to be a risk to national security. The PIF is completed by organizations, entities, or individuals applying for USAID contracts, grants, or other funding. In addition to collecting data on entities applying for funding and the type and purpose of the award, USAID utilizes the PIF to collect data on key individuals of prospective awardees and subawardees. Information collected on such key individuals includes the following: name; other names used; date and place of birth; gender; citizenship(s); country of issuance; address; phone number(s); email address(es); current employer and project title; organizational rank or title; occupation; and professional licenses and certifications.

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Authorizing Statute(s): US Code: 18 USC 2339 A, B, and C Name of Law: Harboring or concealing terrorists
   EO: EO 13224 Name/Subject of EO: Blocking Property & Prohibiting Transactions w/Persons Who Commit, Threaten To, or Support Terrorism
   PL: Pub.L. 115 - 141 7034(e) Name of Law: Consolidated Appropriations Act, 2018
  

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:
	87 FR 65568	10/31/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 1039	01/06/2023
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
Partner Information Form	AID 500-13, AID 500-13	Partner Information Form ,   PARTNER INFORMATION FORM

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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	3,600	3,600	0	0	0	0
Annual Time Burden (Hours)	5,400	5,400	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The increase is based on the most recent historical data.

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Annual Cost to Federal Government: $5,265,000

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.     Yes

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.     Yes

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? No

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Common Form ICR:  Yes

Description/Changes for Common Form Usage: 

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 03/15/2024

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