Information Collection

Procurement Collusion Strike Force Complaint Form

IC 239802 under ICR 202002-1105-001 · OMB 1105-0109.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0109 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1105-NEW Procurement Collusion Strike Force Complaint Form	Form and Instruction
1105-NEW Procurement Collusion Strike Force Complaint Form PCSF Screenshot - Form.pdf	Form and Instruction

IC Title:

Procurement Collusion Strike Force Complaint Form

Agency IC Tracking Number:

1105-NEW

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1105-NEW	Procurement Collusion Strike Force Complaint Form	PCSF Screenshot - Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.