Information Collection

252.223-7003 (b) and (c)

IC 243468 under ICR 202312-0704-005 · OMB 0704-0272.

Documents and Forms

Document Name Document Type
DFARS 252_223-7003.docx Other-Clause
DFARS 252_223-7003.docx Other-Clause

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	252.223-7003 (b) and (c)	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 252.223-7003 (b) and (c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Clause			DFARS 252_223-7003.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: 10	Number of Respondents for Small Entity: 0

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	40	-120	160
Annual IC Time Burden (Hours)	320	-960	1,280
Annual IC Cost Burden (Dollars)	13,440	-36,480	49,920

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.