Information Collection

Electric Service Territory Compliance Representation -- Far 52.241-1

IC 162160 under ICR 199502-9000-004 · OMB 9000-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 9000-0126 can be found here:

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Information Collection (IC) Details

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IC Title:	ELECTRIC SERVICE TERRITORY COMPLIANCE REPRESENTATION -- FAR 52.241-1	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	500	500	0
Annual IC Time Burden (Hours)	500	0	500
Annual IC Cost Burden (Dollars)	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.