Information Collection

Performance-Based Payments--Representation

IC 235149 under ICR 202302-0750-001 · OMB 0750-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0750-0001 can be found here:

Documents and Forms

Document Name Document Type
0750-0001 Collection Instrument.docx Other-DFARS Provision
0750-0001 Collection Instrument.docx Other-DFARS Provision

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Performance-Based Payments--Representation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR 252

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-DFARS Provision			0750-0001 Collection Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 710	Number of Respondents for Small Entity: 55

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	710	566	144
Annual IC Time Burden (Hours)	71	57	14
Annual IC Cost Burden (Dollars)	4,169	3,413	756

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.