Information Collection

General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217

IC 32396 under ICR 202211-3090-002 · OMB 3090-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0086 can be found here:

Documents and Forms

Document Name Document Type
Form GSA 1217 General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217 Form and Instruction
GSA 1217 Lessor's Annual Cost Statement GSA1217-16.pdf Form and Instruction
GSA 1217 Lessor's Annual Cost Statement GSA1217-16.pdf Form and Instruction
GSA 1364A Simplified Lease Proposal GSA1364A-16.pdf Form
GSA 1364A Simplified Lease Proposal GSA1364A-16.pdf Form
GSA 1364A-1 Simplified Lease Proposal Data GSA1364A-1-16.pdf Form
GSA 1364A-1 Simplified Lease Proposal Data GSA1364A-1-16.pdf Form
GSA 1364WH Proposal to Lease Space (For Use with Warehouse Request GSA1364WH-16.pdf Form
GSA 1364WH Proposal to Lease Space (For Use with Warehouse Request GSA1364WH-16.pdf Form
GSA 1364 Proposal to Lease Space GSA 1364 - Proposal to Lease Space - 2022 draft - Flat PDF file (3).pdf Form and Instruction
GSA 1364 Proposal to Lease Space GSA 1364 - Proposal to Lease Space - 2022 draft - Flat PDF file (3).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 570.802(d) 48 CFR 570.802(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GSA 1217	Lessor's Annual Cost Statement	GSA1217-16.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364A	Simplified Lease Proposal	GSA1364A-16.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364A-1	Simplified Lease Proposal Data	GSA1364A-1-16.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364WH	Proposal to Lease Space (For Use with Warehouse Request for Lease Proposals)	GSA1364WH-16.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	GSA 1364	Proposal to Lease Space	GSA 1364 - Proposal to Lease Space - 2022 draft - Flat PDF file (3).pdf	Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 505	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,732	301	1,431
Annual IC Time Burden (Hours)	7,151	1,270	5,881
Annual IC Cost Burden (Dollars)	518,007	92,186	425,821

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.