CONTRACTOR'S REQUEST FOR PROGRESS PAYMENT

ICR 198109-2105-001

OMB: 2105-0005

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
140159 Migrated
ICR Details
2105-0005 198109-2105-001
Historical Active 197702-2105-001
DOT/OST
CONTRACTOR'S REQUEST FOR PROGRESS PAYMENT
Extension without change of a currently approved collection   No
Regular
Approved without change 11/20/1981
Retrieve Notice of Action (NOA) 09/22/1981
DOT no. 1756
  Inventory as of this Action Requested Previously Approved
11/30/1984 11/30/1984 09/30/1981
2,500 0 2,500
7,500 0 7,500
0 0 0

PROVIDES CONTRACTOR'S OPPORTUNITY TO REQUEST FINANCIAL ASSISTANCE IN T FORM OF PROGRESS PAYMENT WHEN AUTHORIZED BY THEIR CONTRACT WITH THE DEPARTMENT OF TRANSPORTATION. THE DATA ARE USED TO SUPPORT ALL INVOIC AND DETERMINE ELIGIBILITY OF COSTS AND AMOUNT TO BE PAID.

None
None


No

1
IC Title Form No. Form Name
CONTRACTOR'S REQUEST FOR PROGRESS PAYMENT 4220.2

  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 2,500 2,500 0 0 0 0
Annual Time Burden (Hours) 7,500 7,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/22/1981


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