Performance-Based Payments--Representation

Defense Federal Acquisition Regulation Supplement (DFARS) provision, Performance-Based Payments--Representation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0750-0001 can be found here:

Documents and Forms

Document Name Document Type
2019-D002 (p) Collection Instrument OIRA.docx Other-DFARS Provision

Information Collection (IC) Details

IC Title:	Performance-Based Payments--Representation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR 252

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-DFARS Provision			2019-D002 (p) Collection Instrument OIRA.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 144	Number of Respondents for Small Entity: 55

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	144	144
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	756	756

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.