Information Collection

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

IC 36406 under ICR 201711-9000-003 · OMB 9000-0014.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 1413 Statement and Acknowledgment (SF 1413); FAR Section Affected:52.222-11	Form
SF 1413 Statement and Acknowledgement SF 1413.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 52.222-11(b)

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
Form	SF 1413	Statement and Acknowledgement	SF 1413.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34,805

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	69,610	8,610	61,000
Annual IC Time Burden (Hours)	3,481	431	3,050
Annual IC Cost Burden (Dollars)	187,947	187,947	0

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.