Debarment and Suspension. FAR Sections Affected: 9.103; 9.104; 9.404; 52.212-209-6; 52.212-3(h)

ICR 200401-9000-001

OMB: 9000-0094

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
9000-0094 200401-9000-001
Historical Active 200312-9000-009
FAR
Debarment and Suspension. FAR Sections Affected: 9.103; 9.104; 9.404; 52.212-209-6; 52.212-3(h)
Extension without change of a currently approved collection   No
Regular
Approved without change 03/05/2004
Retrieve Notice of Action (NOA) 01/06/2004
  Inventory as of this Action Requested Previously Approved
03/31/2007 03/31/2007 03/31/2004
1,100,000 0 1,100,000
91,667 0 59,584
0 0 0

The solicitation certification requires offerors for a requirement in excess of $100,000 to certify whether the firm or its principals were currently suspended, debarred, proposed for debarment, indicted, or within 3 years of the offer had been convicted of any felonies or civil cases in which the United States brought the action arising from any Federal tax labor and employment environmental, antitrust, or consumer protection laws. In addition, the offeror must advise the contracting officer prior to subcontracting with a contractor debarred, suspended, or proposed for debarment.

None
None


No

1
IC Title Form No. Form Name
Debarment and Suspension. FAR Sections Affected: 9.103; 9.104; 9.404; 52.212-209-6; 52.212-3(h)

  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 1,100,000 1,100,000 0 0 0 0
Annual Time Burden (Hours) 91,667 59,584 0 32,083 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.
01/06/2004


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