Information Collection

Statement And Acknowledgement -- Far Sections 22.406-5, 22.407(a), 52.222-11(b), 53.222(e), 53.301-1413

IC 161781 under ICR 199502-9000-003 · OMB 9000-0014.

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Information Collection (IC) Details

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IC Title:	STATEMENT AND ACKNOWLEDGEMENT -- FAR SECTIONS 22.406-5, 22.407(A), 52.222-11(B), 53.222(E), 53.301-1413	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-1413				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,000	3,000	0
Annual IC Time Burden (Hours)	450	0	450
Annual IC Cost Burden (Dollars)	0	0	0

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