Information Collection

Preventing Personal Conflicts of Interest--Mitigation Plan or Waiver Requests

IC 266290 under ICR 202403-9000-004 · OMB 9000-0018.

Documents and Forms

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IC Title:

Preventing Personal Conflicts of Interest--Mitigation Plan or Waiver Requests

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 48 CFR FAR 52.203-16 (To search for a specific CFR, visit the Code of Federal Regulations.)

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

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	43,500	43,500

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Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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