Risk Analysis and Management(RAM)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Ds-4184 Risk Analysis and Management Information form	Form and Instruction	Modified	Available
Legal Authorities_RAM_PRA_2026.docx	Supplementary Document	Uploaded 2026-06-08	Available
Legal Authorities_RAM_PRA_2022_10-28-22 .docx	Supplementary Document	Uploaded 2022-11-16	Available
Supporting Statment for PRA Submission_30 Day_2026_FINAL.docx	Supporting Statement A	Uploaded 2026-06-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200747	Risk Management and Analysis (RAM)	Form and Instruction	Modified	Risk Analysis and Management Information form

ICR Details

OMB Control No: 1405-0204	ICR Reference No: 202606-1405-005
Status: Received in OIRA	Previous ICR Reference No: 202211-1405-002
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Risk Analysis and Management(RAM)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/08/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	7,000	0
Time Burden (Hours)	10,500	0
Cost Burden (Dollars)	0	0

---

Abstract: 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.

---

Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 12959	03/19/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 13025	06/05/2026
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Risk Management and Analysis (RAM)	Ds-4184	Risk Analysis and Management Information form

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	7,000	0	0	6,500	0	500
Annual Time Burden (Hours)	10,500	0	0	9,750	0	750
Annual Cost Burden (Dollars)	0	0	0	0	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: 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.

---

Annual Cost to Federal Government: $2,400,000

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

---

Common Form ICR:  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:

(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: 06/08/2026

---