Information Collection

Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law; FAR Section Affected 52.209-11

IC 218190 under ICR 201606-9000-005 · OMB 9000-0193.

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Information Collection (IC) Details

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IC Title:	Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law; FAR Section Affected 52.209-11	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 52.209-11

Information Collection 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: 352,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	355,520	0	355,520
Annual IC Time Burden (Hours)	35,552	0	35,552
Annual IC Cost Burden (Dollars)	1,493,184	1,493,184	0

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