Information Collection

Protecting Life in Global Health Assistance (FAR Case 2018-002); FAR Sections Affected: 25.100X and 52.225.XX

IC 240686 under ICR 202003-9000-002 · OMB 9000-0200.

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IC Title:	Protecting Life in Global Health Assistance (FAR Case 2018-002); FAR Sections Affected: 25.100X and 52.225.XX	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 52.225.XX

Information Collection Instruments:

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

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 253	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,088	1,088
Annual IC Time Burden (Hours)	38,950	38,950
Annual IC Cost Burden (Dollars)	359,040	359,040

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