Information Collection

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

IC 32396 under ICR 201604-3090-001 · OMB 3090-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0086 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
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
GSA 1364A-1 Simplified Lease Proposal Data GSA 1364A-1 2016.pdf	Form
GSA 1364WH Proposal to Lease Space (For Use with Warehouse Request GSA 1364 WH 2016.pdf	Form
GSA 1217 Lessor's Annual Cost Statement GSA 1217 2016.pdf	Form and Instruction
GSA 1364 Proposal To Lease Space GSA 1364 2016.pdf	Form
GSA 1364A Simplified Lease Proposal GSA 1364A 2016.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC 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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 570.802(c) 48 CFR 570.802(d)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	GSA 1364A-1	Simplified Lease Proposal Data	GSA 1364A-1 2016.pdf	Yes	Yes	Fillable Printable
Form	GSA 1364A	Simplified Lease Proposal	GSA 1364A 2016.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364	Proposal To Lease Space	GSA 1364 2016.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364WH	Proposal to Lease Space (For Use with Warehouse Request for Lease Proposals)	GSA 1364 WH 2016.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	GSA 1217	Lessor's Annual Cost Statement	GSA 1217 2016.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 544

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,621	-1,944	3,565
Annual IC Time Burden (Hours)	6,597	-2,044	8,641
Annual IC Cost Burden (Dollars)	403,236	403,236	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.