Profit and Loss Statement, Operating Statement

ICR 199703-3090-001

OMB: 3090-0021

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
32370 Migrated
ICR Details
3090-0021 199703-3090-001
Historical Active 199205-3090-002
GSA
Profit and Loss Statement, Operating Statement
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 06/17/1997
Retrieve Notice of Action (NOA) 03/28/1997
  Inventory as of this Action Requested Previously Approved
06/30/2000 06/30/2000
1 0 0
250 0 0
0 0 0

This collection is used as a financial planning document in an offeror's proposal to perform a GSA cafeteria service contract and is considered by the contracting officer in their determination to make an award.

None
None


No

1
IC Title Form No. Form Name
Profit and Loss Statement, Operating Statement GSAFORM2817

  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 1 0 0 1 0 0
Annual Time Burden (Hours) 250 0 0 250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
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.
03/28/1997


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