Information Collection

State Agency Monthly Donation Report of Surplus Personal Property

IC 32401 under ICR 201201-3090-004 · OMB 3090-0112.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0112 can be found here:

Documents and Forms

Document Name Document Type
Form GSA Form 3040 State Agency Monthly Donation Report of Surplus Personal Property Form
GSA Form 3040 State Agency Monthly Donation Report of Surplus Personal GSA 3040 form 2012.pdf www.gsa.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Agency Monthly Donation Report of Surplus Personal Property	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	GSA Form 3040	State Agency Monthly Donation Report of Surplus Personal Property	GSA 3040 form 2012.pdf	www.gsa.gov	Yes	No	Fillable Printable

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 4 %

	Approved	Previously Approved
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	330	330
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.