Information Collection

Pilot Program to Incentivize Contracting with Employee-Owned Businesses

IC 270002 under ICR 202410-0750-001 · OMB 0750-0012.

Documents and Forms

Document Name Document Type
0750-0012 Collection Instrument.docx Other-Contract Clause

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pilot Program to Incentivize Contracting with Employee-Owned Businesses	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-Contract Clause			0750-0012 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: 16	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	1,232	1,232

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.