Information Collection

Part 839 Three Clauses

IC 239190 under ICR 202301-2900-013 · OMB 2900-0895.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0895 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2900-0895 IC Instrument For AQ41(FR) Combined 3 839 Clauses 26JAN2023.docx	Instruction
2900-0895 IC Instrument For AQ41(FR) Combined 3 839 Clauses 26JAN2023.docx	Instruction

IC Title:

Part 839 Three Clauses

Agency IC Tracking Number:

PPS

Is this a Common Form? No

IC Status: Modified

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
Instruction			2900-0895 IC Instrument For AQ41(FR) Combined 3 839 Clauses 26JAN2023.docx		No		Paper Only

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title: Privacy Act of 1974

FR Citation: 86 FR 66551

Number of Respondents: 15,384

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,384	15,384
Annual IC Time Burden (Hours)	4,815	4,815
Annual IC Cost Burden (Dollars)	0	0

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.