Information Collection

Representations to Implement Appropriations Act Provisions on Felony Convictions and Unpaid Federal Tax Liabilities

IC 205053 under ICR 201609-0704-007 · OMB 0704-0494.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Collection Instrument 0704-0494 FINAL.docx www.acq.osd.mil/rd/basic_research/funding/grants.html	Other-Representations Document

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:

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
Other-Representations Document			Collection Instrument 0704-0494 FINAL.docx	http://www.acq.osd.mil/rd/basic_research/funding/grants.html	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15,000	0	15,000
Annual IC Time Burden (Hours)	1,250	0	1,250
Annual IC Cost Burden (Dollars)	65,000	200	64,800

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.