Information Collection

Preserve, Protect, and Submit Media and Data

IC 252012 under ICR 202203-9000-001 · OMB 9000-0203.

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Information Collection (IC) Details

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IC Title:	Preserve, Protect, and Submit Media and Data	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR 52.204-XX(c)(2)

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: Goods Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	7,344	7,344

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.