Information Collection

Application for Qualified Facility List

IC 257365 under ICR 202212-0704-001 · OMB 0704-0650.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0650 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DLA Form 2507 Application for Qualified Facility List	Form and Instruction
DLA Form 2507 Application for Qualified Facility List (QFL) DL2507-12-28-2022 (OMB Placeholder 0704-AQFL).pdf	Form and Instruction
DLA Form 2507 Application for Qualified Facility List (QFL) DL2507-12-28-2022 (OMB Placeholder 0704-AQFL).pdf	Form and Instruction

IC Title:

Application for Qualified Facility List

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

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 and Instruction	DLA Form 2507	Application for Qualified Facility List (QFL)	DL2507-12-28-2022 (OMB Placeholder 0704-AQFL).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	4,858	4,858

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.