Information Collection

Contractor Budget and Representations and Certifications

IC 211132 under ICR 202009-3133-009 · OMB 3133-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3133-0189 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCUA 3249a Contractor Budget and Representations and Certifications	Form and Instruction
NCUA 3249a Contractor Budget NCUA Form 3249a_Contractor Budget_(09-14).pdf	Form and Instruction
NCUA 3249b Contractor Representations and Certifications NCUA Form 3249b_Contractor_Representations_Certifications_(09-14).pdf	Form and Instruction

IC Title:

Contractor Budget and Representations and Certifications

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	NCUA 3249a	Contractor Budget	NCUA Form 3249a_Contractor Budget_(09-14).pdf		Yes	No	Fillable Printable
Form and Instruction	NCUA 3249b	Contractor Representations and Certifications	NCUA Form 3249b_Contractor_Representations_Certifications_(09-14).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 50

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	200	200
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.