Information Collection

252.204-7016 Annual Representation

IC 238321 under ICR 201910-0750-001 · OMB 0750-0002.

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IC Title:	252.204-7016 Annual Representation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR 252.204-7016(c)

Information Collection Instruments:

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

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 211,529	Number of Respondents for Small Entity: 158,647

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	211,529	211,529
Annual IC Time Burden (Hours)	17,627	17,627
Annual IC Cost Burden (Dollars)	972,818	972,818

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