Information Collection

Procurement Quota Certification and Recordkeeping Requirements

IC 236824 under ICR 201907-1117-004 · OMB 1117-0055.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0055 can be found here:

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Information Collection (IC) Details

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IC Title:	Procurement Quota Certification and Recordkeeping Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 1315.32 21 CFR 1303.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 55 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	35,160	35,160

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.