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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.