Standard Form 28, Affidavit of Individual Surety - FAR Sections Affected: 28.203(b); 28.204 ,and 52.228-11

Forms and Documents

Document Name	Status
Form SF 28 Standard Form 28, Affidavit of Individual Surety - FAR Sections Affected: 28.203(b); 28.204 ,and 52.228-11 Form and Instruction	Modified
9000-0001- Supporting Statement_ 12.18.17.docx Supporting Statement A	2018-01-03

IC Document Collections

IC ID	Document Title	Status
36373	Standard Form 28, Affidavit of Individual Surety - FAR Sections Affected: 28.203(b); 28.204 ,and 52.228-11 Form and Instruction	Modified

ICR Details

OMB Control No: 9000-0001	ICR Reference No: 201711-9000-006
Status: Active	Previous ICR Reference No: 201403-9000-003
Agency/Subagency: FAR	Agency Tracking No:
Title: Standard Form 28, Affidavit of Individual Surety - FAR Sections Affected: 28.203(b); 28.204 ,and 52.228-11
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: 02/05/2018
	Date Received in OIRA: 01/03/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved	02/28/2018
Responses	488	0	500
Time Burden (Hours)	146	0	150
Cost Burden (Dollars)	7,884	0	0

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Abstract: The Standard Form (SF) 28, Affidavit of Individual Surety, is used by all executive agencies, including the Department of Defense, to obtain information from individuals wishing to serve as sureties to Government bonds. Offerors and contractors may use an individual surety as security for bonds required under a solicitation/contract for supplies or services (including construction). It is an elective decision on the part of the offeror/contractor to use individual sureties instead of other available sources of surety or sureties for Government bonds.

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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 48231	10/17/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 61571	12/28/2017
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
Standard Form 28, Affidavit of Individual Surety - FAR Sections Affected: 28.203(b); 28.204 ,and 52.228-11	SF 28	Affidavit of Individual Surety

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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	488	500	0	-12	0	0
Annual Time Burden (Hours)	146	150	0	-4	0	0
Annual Cost Burden (Dollars)	7,884	0	0	7,884	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The reduction of responses from 500 to 488 and the associated decrease in estimated burden hours from 150 to 146 hours is an adjustment due to the assumptions made for the estimate and using the Electronic Document Access system data for FY 2016.

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Annual Cost to Federal Government: $26,352

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: 01/03/2018

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