30-Day Notice of Proposed Information Collection: DS 4053, Department of State Mentor-Protégé Program Application, OMB 1405-0161

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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-Prot[eacute]g[eacute] Program Application. OMB Control Number: OMB 1405-0161. Type of Request: Extension of a Currently Approved Collection. Originating Office: Bureau of Administration, Office of Small and Disadvantaged Business Utilization--A/SDBU. Form Number: DS-4053. Respondents: Small and large for-profit companies planning to team together in an official mentor-prot[eacute]g[eacute] capacity to improve the likelihood of winning DOS contracts. Estimated Number of Respondents: 14 respondents per year. Estimated Number of Responses: 14 per year. Average Hours per Response: 14 hours. Total Estimated Burden: 21 hours. Frequency: On Occasion. Obligation to Respond: Required to Obtain Benefit.