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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.