Information Collection

Personal Conflict of Interest Mitigation Plan/Waiver Request; FAR Subpart and Section Affected 3.11 and 52.203-16

IC 213755 under ICR 201411-9000-002 · OMB 9000-0183.

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IC Title:

Personal Conflict of Interest Mitigation Plan/Waiver Request; FAR Subpart and Section Affected 3.11 and 52.203-16

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 3.11 48 CFR 52.203-16

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

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 94

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	94	94
Annual IC Time Burden (Hours)	1,880	1,880
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.