Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of State

          - [Public Notice 4985] 

# ACTION:

Notice of request for public comment and submission to OMB of proposed collection of information. 

# SUMMARY:

The Department of State has submitted the following information collection request to the Office of Management and Budget (OMB) for approval in accordance with the Paperwork Reduction Act of 1995. 
      -  Title of Information Collection:                          Department of State Mentor-Protégé Program Application,                     
      -  OMB Control Number:                          1405-XXXX.                     
      -  Type of Request:                          New Collection.                     
      -  Originating Office:                          Bureau of Administration, A/SDBU.                     
      -  Form Number:                          DS 4053.                     
      -  Respondents:                          Small and large for-profit companies planning to team together in an official mentor-protégé capacity to improve the likelihood of winning DOS contracts.                     
      -  Estimated Number of Respondents:                          20 respondents per year.                     
      -  Estimated Number of Responses:                          10 per year.                     
      -  Average Hours Per Response:                          21.                     
      -  Total Estimated Burden:                          210.                     
      -  Frequency:                          On Occasion.                     
      -  Obligation to Respond:                          Voluntary.                     

# DATES:

Submit comments to the Office of Management and Budget (OMB) for up to 30 days from February 2, 2005. 

# ADDRESSES:

                        Direct comments and questions to Alex Hunt, the Department of State Desk Officer in the Office of                               ( print page 5500)                            Information and Regulatory Affairs at the Office of Management and Budget (OMB), who may be reached on 202-395-7860. You may submit comments by any of the following methods:                     
      - E-mail: ahunt@omb.eop.gov . You must include the DS form number (if applicable), information collection title, and OMB control number in the subject line of your message.                     
      - Hand Delivery or Courier: OIRA, Department of State Desk Officer, Office of Management and Budget, 725 17th Street, NW., Washington, DC 20503
      - Fax: 202-395-6974

# FOR FURTHER INFORMATION CONTACT:

                        You may obtain copies of the proposed information collection and supporting documents from Patricia Culbreth, A/SDBU, SA-6, Rm. L-500, Washington DC, 20522, who may be reached on 703-875-6881. E-mail,                         *culbrethpb@state.gov*.                     

# SUPPLEMENTARY INFORMATION:

We are soliciting public comments to permit the Department to: 
    - Evaluate whether the proposed information collection is necessary to properly perform our functions.
    - Evaluate the accuracy of our estimate of the burden of the proposed collection, including the validity of the methodology and assumptions used.
    - Enhance the quality, utility, and clarity of the information to be collected.
    - Minimize the reporting burden on those who are to respond, including the use of automated collection techniques or other forms of technology.

Abstract of proposed collection:

This information collection facilitates implementation of a mentor-protégé program that encourages business agreements between small and large for-profit companies planning to team together in an official mentor-protégé capacity to improve the likelihood of winning DOS contracts. Such a program should assist the State Department OSDBU office in reaching its small business goals. 

Methodology:

Respondents may submit the information by e-mail using DS-4053, or by letter using fax or postal mail. 

Additional Information: None. 

Dated: November 23, 2004. 

Durie N. White, 

Operations Director, Bureau of Administration, Department of State. 

[FR Doc. 05-1929 Filed 2-1-05; 8:45 am] 

BILLING CODE 4710-24-P