Claims and Appeals - FAR Sections Affected: Part 33.2 and 52.233-1

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IC Title:	Claims and Appeals - FAR Sections Affected: Part 33.2 and 52.233-1	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 52.233-1

Information Collection 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: 4,500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,500	0	13,500
Annual IC Time Burden (Hours)	13,500	0	13,500
Annual IC Cost Burden (Dollars)	945,000	175,500	769,500

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