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Government, Corporate or Foundation, and Individual Donor Form Applications
Government, Corporate or Foundation, and Individual Donor Form Application
OMB: 1405-0218
IC ID: 214454
OMB.report
STATE/AFA
OMB 1405-0218
ICR 202402-1405-004
IC 214454
( )
Documents and Forms
Document Name
Document Type
Form DS-4271
Government, Corporate or Foundation, and Individual Donor Form Applications
Form and Instruction
DS-4271 Donor Form - Government
ds4271.pdf
Form and Instruction
DS-4271 Donor Form - Government
ds4271.pdf
Form and Instruction
DS-4272 Donor Form - Corporate or Foundation
ds4272.pdf
Form and Instruction
DS-4272 Donor Form - Corporate or Foundation
ds4272.pdf
Form and Instruction
DS-4273 Donor Form - Individual
ds4273.pdf
Form and Instruction
DS-4273 Donor Form - Individual
ds4273.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Government, Corporate or Foundation, and Individual Donor Form Applications
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
22 CFR Part 3 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DS-4271
Donor Form - Government
ds4271.pdf
Yes
No
Fillable Printable
Form and Instruction
DS-4272
Donor Form - Corporate or Foundation
ds4272.pdf
Yes
No
Fillable Printable
Form and Instruction
DS-4273
Donor Form - Individual
ds4273.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Property Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
5,000
0
921
0
0
4,079
Annual IC Time Burden (Hours)
833
0
153
0
0
680
Annual IC Cost Burden (Dollars)
2,750
0
507
0
0
2,243
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.