Information Collection

252.223-7004 (New Awards)

IC 243472 under ICR 202009-0704-003 · OMB 0704-0272.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0272 can be found here:

Documents and Forms

Document Name Document Type
DFARS Part 223 Drug Free Workforce Clause.docx Other-Clause
DFARS Part 223 Drug Free Workforce Clause.docx Other-Clause

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	252.223-7004 (New Awards)	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 252.223-7004

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Clause			DFARS Part 223 Drug Free Workforce Clause.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: 1,110	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,110	1,110
Annual IC Time Burden (Hours)	88,800	88,800
Annual IC Cost Burden (Dollars)	7,104,000	7,104,000

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.