Information Collection

Change-of-Name Agreement

IC 246861 under ICR 202104-9000-003 · OMB 9000-0076.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 9000-0076 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Change-of-Name Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 42.1205(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 922	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	922	922
Annual IC Time Burden (Hours)	922	922
Annual IC Cost Burden (Dollars)	66,384	66,384

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.