Statement and Acknowledgment (SF 1413); FAR Section Affected:52.222-11

Forms and Documents

Document	Type	Status	Availability
Form SF 1413 Statement and Acknowledgment (SF 1413); FAR Section Affected:52.222-11	Form	Modified	Available
9000-0014 Supporting Statement.docx	Supporting Statement A	Uploaded 2017-12-06	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
36406	Statement and Acknowledgment (SF 1413); FAR Section Affected:52.222-11	Form	Modified

ICR Details

OMB Control No: 9000-0014	ICR Reference No: 201711-9000-003
Status: Historical Active	Previous ICR Reference No: 201402-9000-001
Agency/Subagency: FAR	Agency Tracking No:
Title: Statement and Acknowledgment (SF 1413); FAR Section Affected:52.222-11
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/05/2018
	Date Received in OIRA: 12/06/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved	01/31/2018
Responses	69,610	0	61,000
Time Burden (Hours)	3,481	0	3,050
Cost Burden (Dollars)	187,947	0	0

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Abstract: In compliance with FAR 52.222.11, all executive agencies, including the Department of Defense, use Standard Form (SF) 1413, Statement and Acknowledgment (in construction contracts that exceed $2,000) to obtain a statement from contractors and acknowledgement of subcontractors, that the proper labor clauses have been included in subcontracts.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 35953	08/02/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 51255	11/03/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Statement and Acknowledgment (SF 1413); FAR Section Affected:52.222-11	SF 1413	Statement and Acknowledgement

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	69,610	61,000	0	8,610	0	0
Annual Time Burden (Hours)	3,481	3,050	0	431	0	0
Annual Cost Burden (Dollars)	187,947	0	0	187,947	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase of responses from 61,000 to 69,610 and the associated increase in estimated burden hours from 3,050 hours to 3,481 hours is an adjustment due to an increase in the number of construction contracts that exceeded $2,000 in FY 2016.

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Annual Cost to Federal Government: $187,974

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/06/2017

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