Information Collection

Dfars 252.236-7012

IC 246391 under ICR 202103-0704-006 · OMB 0704-0255.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0255 can be found here:

Documents and Forms

Document Name Document Type
Collection Instrument 0704-0255.docx Other-Clauses
Collection Instrument 0704-0255.docx Other-Clauses

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DFARS 252.236-7012	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 252

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Clauses			Collection Instrument 0704-0255.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

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: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	480	480

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.