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

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

Information Collection (IC) Details

View Information Collection (IC)

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

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 %

	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

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.