GSAR, PART 509, CERTIFICATION (CRIMES, DEBARMENTS, SUSPENSIONS, DEFAULTS)

ICR 198403-3090-001

OMB: 3090-0214

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3090-0214 198403-3090-001
Historical Active
GSA
GSAR, PART 509, CERTIFICATION (CRIMES, DEBARMENTS, SUSPENSIONS, DEFAULTS)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/07/1984
Retrieve Notice of Action (NOA) 03/30/1984
  Inventory as of this Action Requested Previously Approved
03/31/1987 03/31/1987
90,945 0 0
15,157 0 0
0 0 0

THE DEBARMENT CERTIFICATION REQUIRES CONTRACTORS FOR A CONTRACT OVER $25,000 TO CERTIFY WHETHER THE FIRM, ITS OFFICERS OR PRINCIPAL EMPLOYEES HAVE BEEN INDICTED, CONVICTED, SUSPENDED, DEBARRED OR HAD A CONTRACT TERMINATED FOR DEFAULT.

None
None


No

1
IC Title Form No. Form Name
GSAR, PART 509, CERTIFICATION (CRIMES, DEBARMENTS, SUSPENSIONS, DEFAULTS)

  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 90,945 0 0 0 90,945 0
Annual Time Burden (Hours) 15,157 0 0 0 15,157 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.
03/30/1984


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