Information Collection

Statement and Acknowledgment (SF 1413); FAR Sections Affected: 22.406-5; 22.407(a); 52.222-11(b); 53.222(e); 53.301-SF 1413

IC 36406 under ICR 201105-9000-005 · OMB 9000-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 9000-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-1413 Statement and Acknowledgment (SF 1413); FAR Sections Affected: 22.406-5; 22.407(a); 52.222-11(b); 53.222(e); 53.301-SF 1413	Form
SF-1413 Statement and Acknowledgment sf1413.pdf	Form

IC Title:

Statement and Acknowledgment (SF 1413); FAR Sections Affected: 22.406-5; 22.407(a); 52.222-11(b); 53.222(e); 53.301-SF 1413

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR 22.407(a) 48 CFR 52.222-11(b) 48 CFR 53.222(e) 48 CFR 22.406-5 48 CFR 53.301

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	SF-1413	Statement and Acknowledgment	sf1413.pdf		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 31,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	63,000	63,000
Annual IC Time Burden (Hours)	3,150	3,150
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.