Information Collection

Technical Data Declaration, Revision, and Withholding of Payment–Major Systems

IC 257597 under ICR 202212-9000-001 · OMB 9000-0095.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 9000-0095 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Technical Data Declaration, Revision, and Withholding of PaymentâMajor Systems	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 52.227-21

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: 22	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	7,700	7,700

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.