Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF 28 Affidavit of Individual Surety	Form and Instruction	Modified	Available
Form SF 28 Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	Form and Instruction	Modified	Repair queued
9000-0001 Supporting Statement 2021.docx	Supporting Statement A	Uploaded 2021-01-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
36373	Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	Form and Instruction	Modified	Affidavit of Individual Surety
36373	Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	Form and Instruction	Modified

ICR Details

OMB Control No: 9000-0001	ICR Reference No: 202101-9000-005
Status: Historical Active	Previous ICR Reference No: 201809-9000-001
Agency/Subagency: FAR	Agency Tracking No:
Title: Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/22/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/22/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2024	36 Months From Approved	03/31/2021
Responses	20	0	488
Time Burden (Hours)	6	0	146
Cost Burden (Dollars)	342	0	7,884

---

Abstract: The Standard Form (SF) 28, Affidavit of Individual Surety, is used by all executive agencies, including the Department of Defense, to obtain information from individuals wishing to serve as sureties to Government bonds.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 70151	11/04/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 6650	01/22/2021
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	SF 28	Affidavit of Individual Surety

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20	488	0	-468	0	0
Annual Time Burden (Hours)	6	146	0	-140	0	0
Annual Cost Burden (Dollars)	342	7,884	0	-7,542	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease of responses from 488 to 20 and the associated decrease in estimated burden hours from 146 to 6 is an adjustment due to a change in the methodology to be consistent with FAR Case 2017-003, Individual Sureties (proposed at 85 FR 7910 12 FEB 2020, finalized at 86 FR 3682 JAN 2021); and use of the most current data available.

---

Annual Cost to Federal Government: $1,140

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/22/2021

---