Information Collection

Nondiscrimination in Federal Financial Assistance -- Compliance Questionnaire

IC 272230 under ICR 202411-3090-003 · OMB 3090-0310.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA XXXX Nondiscrimination in Federal Financial Assistance -- Compliance Questionnaire	Form and Instruction
Form GSA XXXX Nondiscrimination in Federal Financial Assistance Compliance Questionnaire for Recipients Nondiscrimination in Federal Financial Assistance -- Compliance Questionnaire	Form and Instruction
GSA XXXX Nondiscrimination in Federal Financial Assistance Compli New GSA form for AKCB 2024 draft.6.21.24.pdf	Form and Instruction
GSA XXXX Nondiscrimination in Federal Financial Assistance Compli New GSA form for AKCB 2024 draft.6.21.24.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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 XXXX				Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	75	75
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	4,350	4,350

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.

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