Information Collection

Statement of Contingent or Other Fees (SF 119) FAR Sections Affected: 3.404, 3.405(b)(5), 52.203-4, 53.203(a)

IC 161725 under ICR 199507-9000-005 · OMB 9000-0003.

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Information Collection (IC) Details

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IC Title:	Statement of Contingent or Other Fees (SF 119) FAR Sections Affected: 3.404, 3.405(b)(5), 52.203-4, 53.203(a)	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	SF119				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,000	25,000	0
Annual IC Time Burden (Hours)	8,333	83	8,250
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.