View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0412-0577
ICR Reference No:
202301-0412-001
Status:
Historical Active
Previous ICR Reference No:
201910-0412-001
Agency/Subagency:
AID
Agency Tracking No:
Title:
Partner Information Form (PIF)
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
04/24/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/09/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2026
36 Months From Approved
Responses
3,600
0
0
Time Burden (Hours)
5,400
0
0
Cost Burden (Dollars)
0
0
0
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.
Authorizing Statute(s):
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
US Code:
18 USC 2339 A, B, and C
Name of Law: Harboring or concealing terrorists
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:
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
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Partner Information Form
AID 500-13
Partner Information Form
Partner Vetting Information
500-13
Partner Information Form
ICR Summary 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
0
0
3,600
-5,800
5,800
Annual Time Burden (Hours)
5,400
0
0
5,400
-8,700
8,700
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:
The increase is based on the most recent historical data.
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
Agency Contact:
Kelly Hamilton 202 710-2082 kehamilton@usaid.gov
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
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:
01/09/2023
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