General Services Administration Regulation (GSAR) 570.802(c) and 570.802(d); Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form GSA 1364A-1 General Services Administration Regulation (GSAR) 570.802(c) and 570.802(d); Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217	Form	Modified	Available
3090-0086 Supporting Statement.docx	Supporting Statement A	Uploaded 2016-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
32396	General Services Administration Regulation (GSAR) 570.802(c) and 570.802(d); Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217	Form	Modified

ICR Details

OMB Control No: 3090-0086	ICR Reference No: 201604-3090-001
Status: Historical Active	Previous ICR Reference No: 201211-3090-003
Agency/Subagency: GSA	Agency Tracking No:
Title: General Services Administration Regulation (GSAR) 570.802(c) and 570.802(d); Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/10/2016
	Date Received in OIRA: 08/12/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	36 Months From Approved	11/30/2016
Responses	1,621	0	3,565
Time Burden (Hours)	6,597	0	8,641
Cost Burden (Dollars)	403,236	0	0

---

Abstract: In accordance with GSAR 570.802(c), GSA Form 1364 Proposal to Lease Space is used to obtain information about property being offered for lease to house Federal agencies. In accordance with GSAR 570.802(d), GSA Form 1217 Lessor’s Annual Cost Statement is used to obtain pricing information regarding offered services and lease commissions. GSA conducted a Lease Reform Initiative to improve the lease acquisition process for GSA, client agencies, and the private sector. A total of six lease contract models have been developed that are targeted to meet the needs of the national leased portfolio. Five of the lease models require offerors to complete a GSA Form 1364 and four require completion of GSA Form 1217.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 10623	03/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 30305	05/16/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
General Services Administration Regulation (GSAR) 570.802(c) and 570.802(d); Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217	GSA 1364, GSA 1364A, GSA 1364A-1, GSA 1364WH, GSA 1217	Simplified Lease Proposal Data ,   Simplified Lease Proposal ,   Proposal To Lease Space ,   Proposal to Lease Space (For Use with Warehouse Request for Lease Proposals) ,   Lessor's Annual Cost Statement

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,621	3,565	0	-1,944	0	0
Annual Time Burden (Hours)	6,597	8,641	0	-2,044	0	0
Annual Cost Burden (Dollars)	403,236	0	0	403,236	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The number of projects and offers per project has increased since the last information collection renewal. In addition, the costs per hour used for the calculations were increased to reflect current wage rates. The estimated number of respondents is based on the number of projects and number of offers received per project for the different lease models in 2015 that decreased. The burden hours are based on the number of preparation hours estimated per offer to complete the forms associated with the different lease models in 2015.

---

Annual Cost to Federal Government: $220,767

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/12/2016

---