GENERAL SERVICES ADMINISTRATION ACQUISITION REGULATION (GSAR) - PART 509, CERTIFICATION (CRIMES, DEBARMENTS, SUSPENSIONS, AND DEFAULTS)

ICR 198706-3090-002

OMB: 3090-0214

Federal Form Document

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ICR Details
3090-0214 198706-3090-002
Historical Active 198403-3090-001
GSA
GENERAL SERVICES ADMINISTRATION ACQUISITION REGULATION (GSAR) - PART 509, CERTIFICATION (CRIMES, DEBARMENTS, SUSPENSIONS, AND DEFAULTS)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/28/1987
Retrieve Notice of Action (NOA) 06/02/1987
  Inventory as of this Action Requested Previously Approved
08/31/1990 08/31/1990
90,945 0 0
15,158 0 0
0 0 0

THE SUBJECT CERTIFICATION REQUIRES OFFERORS FOR A REQUIREMENT IN EXCESS OF $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

  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 90,945 0 0
Annual Time Burden (Hours) 15,158 0 0 15,158 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
06/02/1987


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