Information Collection

Part 1239 Clause 1252.239-75

IC 251389 under ICR 202202-2105-001 · OMB 2105-0579.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0579 can be found here:

Documents and Forms

Document Name Document Type
DOT TAR 2105-AE26 PRA Group 3 - 1252.239-75 - Information Collection Instrument - 31JAN2022.docx Instruction
DOT TAR 2105-AE26 PRA Group 3 - 1252.239-75 - Information Collection Instrument - 31JAN2022.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Part 1239 Clause 1252.239-75	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			DOT TAR 2105-AE26 PRA Group 3 - 1252.239-75 - Information Collection Instrument - 31JAN2022.docx		No		Paper Only

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 311	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	622	622
Annual IC Time Burden (Hours)	622	622
Annual IC Cost Burden (Dollars)	20,588	20,588

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.