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

Documents and Forms

Document Name Document Type
Collection Instrument 0704-0494 FINAL.docx www.acq.osd.mil/rd/basic_research/funding/grants.html Other-Representations Document

Information Collection (IC) Details

View Information Collection (IC)

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

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 %

	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

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.