Information Collection

Additional Representation

IC 248071 under ICR 202412-3090-002 · OMB 3090-0324.

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Information Collection (IC) Details

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IC Title:	Additional Representation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 552.270-33

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: 54	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54	0	54
Annual IC Time Burden (Hours)	540	0	540
Annual IC Cost Burden (Dollars)	0	-136,676	136,676

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