Information Collection

GSA Mentor-Protege Program; GSAR Subpart Affected: 519.70

IC 189072 under ICR 201510-3090-003 · OMB 3090-0286.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA 3695 GSA Mentor-Protege Program; GSAR Subpart Affected: 519.70	Form and Instruction
GSA 3695 GSA Mentor Protege Program Application GSA 3695 2015.pdf	Form and Instruction

IC Title:

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 519.70

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 and Instruction	GSA 3695	GSA Mentor Protege Program Application	GSA 3695 2015.pdf		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 254

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,016	-184	1,200
Annual IC Time Burden (Hours)	3,048	-552	3,600
Annual IC Cost Burden (Dollars)	126,187	126,187	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.