Contractor Information Worksheet, GSA Form 850

Contractor Information Worksheet; GSA Form 850

Documents and Forms

Document Name Document Type
Form GSA 850 Contractor Information Worksheet, GSA Form 850 Form and Instruction
GSA 850 Contractor Information Worksheet GSA850-19 (1).pdf Form and Instruction
GSA 850 Contractor Information Worksheet GSA850-19 (1).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Contractor Information Worksheet, GSA Form 850	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	GSA 850	Contractor Information Worksheet	GSA850-19 (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title: Privacy Act of 1974; Notice of Updated Systems of Records	FR Citation: 73 FR 35690

Number of Respondents: 25,000	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	Previously Approved
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	6,250	6,250
Annual IC Cost Burden (Dollars)	248,625	248,625

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.