Information Collection

OMBudsman Inquiry/Request Instrument

IC 228465 under ICR 202011-3090-001 · OMB 3090-0315.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0315 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Ombudsman Inquiry_Request Instrument.docx www.gsa.gov/policy-regulations/policy/acquisition-policy/gsa-ombudsman	Other-Webform
Ombudsman Inquiry_Request Instrument.docx www.gsa.gov/policy-regulations/policy/acquisition-policy/gsa-ombudsman	Other-Webform

IC Title:

Ombudsman Inquiry/Request Instrument

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Other-Webform			Ombudsman Inquiry_Request Instrument.docx	https://www.gsa.gov/policy-regulations/policy/acquisition-policy/gsa-ombudsman	Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 118

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	118	118
Annual IC Time Burden (Hours)	30	30
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.