THE WORLD BANK IBRD * IDA I WORLD BANKGROUP December 4, 2019 H. E. Domitien Ndihokubwayo Minister of Finance, Budget and Development Planning Ministry of Finance, Budget and Development Planning O FFI C AL Bujumbura Republic of Burundi DOCUMENTS Re: Republic of Burundi: IDA Grant Number D166-BI (Health System Support Project 'KIRA') First Amendment to the Disbursement Financial Information Letter dated March 23, 2017. Additional Instructions: Disbursement and Financial Information Letter Excellency: I refer to the Financing Agreement between the Republic of Burundi (the "Recipient") and the International Development Association (the "Association") for the above-referenced project. The Agreement provides that the World Bank may issue additional instructions regarding the withdrawal of the proceeds of IDA Grant No. D166-BI (collectively "Financing"). I also refer to the Disbursement and Financial Information Letter dated March 23, 2017. This Disbursement Financial Information Letter shall be amended as set forth in this letter (the "First Amendment") to add a Designated Account to Category 3 of Attachment to the Amendment of the Financing Agreement dated. The instructions, set forth in Section II (vi) Withdrawal of Financing Proceeds (Advances) of the Disbursement and Financial Information Letter dated March 23, 2017 shall be modified as followed: II. Withdrawal of Financing Proceeds (vi) Advances (sections 5 and 6). * Type ofDesignated Account(s) (subsection 5.3): 3 Segregated Designated Accounts DA-A for category 1 DA-B for category 2 DA-C for category 3 * Currency of Designated Account (subsection 5.4): US Dollars * Financial Institution at which the Designated Account Will Be Opened (subsection 5.5): Banque de la R6publique du Burundi * Ceiling (subsection 6.1): DA-A: USD 3,000,000 DA-B: USD 1,000,000 DA-C: USD 3,300,000 THE WORLD BANK IBRD* IDA I WORLDBANKGROUP III. Reporting on Use of Financing Proceeds (i) Supporting Documentation (section 4). Supporting documentation should be provided with each application for withdrawal as set out below: * For requests for Reimbursement and for reporting eligible expenditures paid from the Designated Account: 0 Statement of Expenditures in the form attached (Attachment 4) for all expenditures / contracts for DA-C All other instructions and attachments of the Disbursement and Financial Information Letter (IDA DI 660 dated March 23, 2017 which are not expressly modified in accordance with this letter, shall remain in force and effect. If you have any queries in relation to the above, please contact WFACS at askloans(,worldbank.org using the above reference. Very truly yours, INTERNATIONAL DEVELOPMENT ASSOCIATION By Faly 110o Finance Officer lient Service Loan Operations and Trust Fund Department Africa Region