Information Collection

Lessor's Annual Cost Statement (GSA Form 1217)

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.