Reinstatement without change of a previously approved collection
No
Regular
06/08/2026
Requested
Previously Approved
36 Months From Approved
7,000
0
10,500
0
0
0
The Risk Analysis Information form is a supplementary form for security screening that will be completed by organizations, entities or individuals applying for Department of State contracts, grants or other funding. Data collected includes the name, date and place of birth, gender, citizenship(s), U.S. passport or Social Security number if US citizen or Legal Permanent Resident, address, telephone and fax numbers, e-mail address, and current employer and job title of each of the "key personnel" of the organization. The information will be entered into government and public databases for screening to ensure that any funds awarded will not be purposefully or inadvertently used to provide support to entities or individuals deemed to be a risk to national security. The statutes and regulations authorizing the collection of information are: 18 U.S.C. 2339A, 2339B, 2339C; 22 U.S.C.2151 et seq.; Section 559 of the FY06 Foreign Operations Appropriations Act, Executive Orders 13224, 13099 and 12947; and Homeland Security Presidential Directive 6.
US Code:
18 USC 2339A
Name of Law: Providing Material Support to Terrorists
US Code:
18 USC 2339C
Name of Law: Prohibitions Against the Financing of Terrorism
US Code:
18 USC 2339B
Name of Law: Providing Material Support or Resources to Designated Foreign Terrorist Organizations
Based on experience, the assumption is that 7000 DS-4184 forms will be submitted annually, and we estimate that none of the information forms will be submitted outside the RAM Portal. Current submission estimates are based on data gathered during previous years of the program. Based on current fiscal data including data entry, acceptance, review and evaluation of data, the total projected operating budget including labor, supplies, equipment, printing, materials, overhead, support staff, hardware, software, etc. is $2,400,000.
$2,400,000
No
Yes
Yes
No
No
No
No
Annura Murtadha 202 663-1969
No
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:
(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;
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.
Form Ds-4184 Risk Analysis and Management Information form
Legal Authorities_RAM_PRA_2026.docx
Risk Management and Analysis (RAM)