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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.