Information Collection

Contract Level Representations

IC 186981 under ICR 202104-9000-004 · OMB 9000-0163.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 9000-0163 can be found here:

Documents and Forms

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IC Title:

Contract Level Representations

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 52.219-28

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

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,956

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	1,956	-244	2,200
Annual IC Time Burden (Hours)	978	-122	1,100
Annual IC Cost Burden (Dollars)	39,120	-1,580	40,700

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.