Information Collection

OMBudsman Inquiry/Request Instrument

IC 228465 under ICR 201709-3090-002 · OMB 3090-0315.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0315 can be found here:

Documents and Forms

Document Name Document Type
Ombudsman Inquiry_Request Instrument.docx www.gsa.gov/policy-regulations/policy/acquisition-policy/gsa-ombudsman Other-Webform

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ombudsman Inquiry/Request Instrument	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Webform			Ombudsman Inquiry_Request Instrument.docx	https://www.gsa.gov/policy-regulations/policy/acquisition-policy/gsa-ombudsman	Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 118	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
Annual Number of Responses for this IC	118	118
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

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.