Information Collection

Living Quarters Eligibility Questionnaire; GSA Form 5039

IC 262266 under ICR 202309-3090-001 · OMB 3090-0331.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA 5039 Living Quarters Eligibility Questionnaire; GSA Form 5039	Form and Instruction
GSA 5039 LIVING QUARTERS ELIGIBILITY QUESTIONAIRE GSA Form 5039-final_3_20_2023 (1).pdf	Form and Instruction
GSA 5039 LIVING QUARTERS ELIGIBILITY QUESTIONAIRE GSA Form 5039-final_3_20_2023 (1).pdf	Form and Instruction

IC Title:

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	GSA 5039	LIVING QUARTERS ELIGIBILITY QUESTIONAIRE	GSA Form 5039-final_3_20_2023 (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: OPM/GOVT-1 General Personnel Records

FR Citation: 80 FR 74815

Number of Respondents: 25

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	25	25
Annual IC Time Burden (Hours)	25	25
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.