View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Certification of Identity Form	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

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 and Instruction	AID 507-1	Certification of Identity	AID 507-1 Certification of Identity (OMB 0412-0589. Exp. 4.30.XXXX).1.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: USAID-25, Freedom of Information Act, Privacy Act, and Mandatory Declassification Review Requests	FR Citation: 79 FR 7164

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	300	0	0	0	0	300
Annual IC Time Burden (Hours)	150	0	0	0	0	150
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
2021 Supporting Statement for FOIA 507-1	2021 Supporting Statment for FOIA 507-1 (1) (1).pdf	03/25/2022

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