Information Collection

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

IC 36373 under ICR 202101-9000-005 · OMB 9000-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 9000-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 28 Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	Form and Instruction
SF 28 Affidavit of Individual Surety SF28-03d.pdf	Form and Instruction
SF 28 Affidavit of Individual Surety SF28-03d.pdf	Form and Instruction

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR 52.228-11

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	SF 28	Affidavit of Individual Surety	SF28-03d.pdf		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20	-468	488
Annual IC Time Burden (Hours)	6	-140	146
Annual IC Cost Burden (Dollars)	342	-7,542	7,884

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.