Defense Federal Acquisition Regulation Supplement (DFARS) Appendix I

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5388	Defense Federal Acquisition Regulation Supplement (DFARS) Appendix I		Modified

ICR Details

OMB Control No: 0704-0332	ICR Reference No: 201801-0704-003
Status: Historical Inactive	Previous ICR Reference No: 201704-0704-001
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: Defense Federal Acquisition Regulation Supplement (DFARS) Appendix I
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 04/19/2018
	Date Received in OIRA: 02/02/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	36 Months From Approved	01/31/2021
Responses	255	0	240
Time Burden (Hours)	595	0	240
Cost Burden (Dollars)	27,336	0	11,026

---

Abstract: DFARS Appendix I, requires contractors participating in the Pilot Mentor-Protege Program as mentors to keep records and report on progress in achieving the developmental assistance objectives under each mentor-protege agreement. A supplemental information collection requirement is imposed on protege firms to report on progress made under the mentor-ptotege agreements.

---

Authorizing Statute(s): PL: Pub.L. 106 - 65 811(d) Name of Law: NDAA for FY 2000
   PL: Pub.L. 101 - 510 831 Name of Law: NDAA for FY 1991
  

Citations for New Statutory Requirements: PL: Pub.L. 114 - 92 861 Name of Law: NDAA for FY 2016

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0750-AJ05	Final or interim final rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 65610	09/23/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 3687	01/26/2018
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Defense Federal Acquisition Regulation Supplement (DFARS) Appendix I

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	255	240	15	0	0	0
Annual Time Burden (Hours)	595	240	355	0	0	0
Annual Cost Burden (Dollars)	27,336	11,026	16,310	0	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: No

Burden Reduction Due to:

Short Statement: The change in burden is the result of the additional reporting requirements in section 861 of the NDAA for FY 2016 (Pub. L. 114-92). Section 861 requires mentor firms to report details of the assistance provided and subcontracts awarded to protégé firms, as well as a narrative describing the success this assistance has had in addressing the developmental needs of the protégé firm.

---

Annual Cost to Federal Government: $35,147

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

---

Common Form ICR:  No

---

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: 02/02/2018

---