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Lessor's Annual Cost Statement (GSA Form 1217)
Lessor's Annual Cost Statement (GSA Form 1217)
OMB: 3090-0295
IC ID: 192236
OMB.report
GSA
OMB 3090-0295
ICR 201003-3090-002
IC 192236
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,733
0
5,733
0
0
0
Annual IC Time Burden (Hours)
5,733
0
5,733
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.