Contractor Budget, Representations, and Certifications

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0189 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Contractor Budget, Representations, and Certifications Form and Instruction
1 Contractor Budget, Representations, and Certifications pdf file of forms.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Contractor Budget, Representations, and Certifications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 41 CFR 60-300.5 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Contractor Budget, Representations, and Certifications	pdf file of forms.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 50

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	200	200
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.