Information Collection

Lessor's Annual Cost Statement (GSA Form 1217)

IC 192236 under ICR 201003-3090-002 · OMB 3090-0295.

Documents and Forms

Document Name Document Type
Form GSA Form 1217 Lessor's Annual Cost Statement (GSA Form 1217) Form and Instruction
GSA Form 1217 Lessor's Annual Cost Statement GSA Form 1217-Dated-1-2011.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Lessor's Annual Cost Statement (GSA Form 1217)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR 570.802

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GSA Form 1217	Lessor's Annual Cost Statement	GSA Form 1217-Dated-1-2011.pdf		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,733	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,733	5,733
Annual IC Time Burden (Hours)	5,733	5,733
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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