Information Collection

General Services Administration Acquisition Regulation (GSAR); Contract Financing Final Payment; 552.232-72, (GSA Form 1142 Release of Claims)

IC 32393 under ICR 202106-3090-004 · OMB 3090-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA Form 1142 General Services Administration Acquisition Regulation (GSAR); Contract Financing Final Payment; 552.232-72, (GSA Form 1142 Release of Claims)	Form
GSA Form 1142 Release of Claims GSA1142-15a.pdf	Form
GSA Form 1142 Release of Claims GSA1142-15a.pdf	Form

IC Title:

General Services Administration Acquisition Regulation (GSAR); Contract Financing Final Payment; 552.232-72, (GSA Form 1142 Release of Claims)

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 552.232-72

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	GSA Form 1142	Release of Claims	GSA1142-15a.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: 1,330

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	1,330	-6,170	7,500
Annual IC Time Burden (Hours)	133	-617	750
Annual IC Cost Burden (Dollars)	3,470	-202,780	206,250

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.