Risk Analysis and Management(RAM)

Forms and Documents

Document Name	Status
Form DS-4184 Risk Management and Analysis (RAM) Form and Instruction	Modified
Background_Syria.docx Justification for No Material/Nonsubstantive Change	2015-08-10
Legal Auth_4-2015-Final.docx Supplementary Document	2015-04-24
Supporting_Statement _30-Day_ 02 09 2016(final).docx Supporting Statement A	2016-02-10

IC Document Collections

IC ID	Document Title	Status
200747	Risk Management and Analysis (RAM) Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0204	ICR Reference No: 201504-1405-003
Status: Historical Active	Previous ICR Reference No: 201201-1405-005
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Risk Analysis and Management(RAM)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/10/2016
	Date Received in OIRA: 04/29/2015
Terms of Clearance: The Department of State will continue to work with USAID to ensure that the agencies' partner vetting systems will minimize duplicative information collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	36 Months From Approved	02/29/2016
Responses	800	0	6,250
Time Burden (Hours)	1,000	0	7,813
Cost Burden (Dollars)	0	0	0

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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.

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Authorizing Statute(s): US Code: 18 USC 2339A Name of Law: Providing Material Support to Terrorists
   US Code: 18 USC 2339B Name of Law: Providing Material Support or Resources to Designated Foreign Terrorist Organizations
   US Code: 18 USC 2339C Name of Law: Prohibitions Against the Financing of Terrorism
  

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:
	80 FR 18	01/28/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 78	04/23/2015
Did the Agency receive public comments on this ICR? No

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

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

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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	800	6,250	0	-5,450	0	0
Annual Time Burden (Hours)	1,000	7,813	0	-6,813	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Burden reduction due to decrease in number of responses.

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Annual Cost to Federal Government: $3,400,818

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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Common Form ICR:  No

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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: 04/29/2015

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