Information Collection

Release of Claims for Construction and Building Service Contracts

IC 32393 under ICR 202407-3090-001 · OMB 3090-0080.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA Form 1142 Release of Claims for Construction and Building Service Contracts	Form
GSA Form 1142 Release of Claims GSA1142-15a.pdf	Form
GSA Form 1142 Release of Claims GSA1142-15a.pdf	Form

IC Title:

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 532.111 48 CFR 532.905-70 48 CFR 552.232-72 48 CFR 532.908 48 CFR 552.232-5 48 CFR 552.232-72

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	GSA Form 1142	Release of Claims	GSA1142-15a.pdf		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,427

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	Previously Approved
Annual Number of Responses for this IC	1,427	97	1,330
Annual IC Time Burden (Hours)	714	581	133
Annual IC Cost Burden (Dollars)	20,891	17,421	3,470

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.