Information Collection

(e) FAR 52.245-1(f)(1)(ix)

IC 253004 under ICR 202505-9000-002 · OMB 9000-0075.

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Information Collection (IC) Details

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IC Title:	(e) FAR 52.245-1(f)(1)(ix)	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 52.245-1(f)(1)(ix)

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: 31	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	31	1	30
Annual IC Time Burden (Hours)	62	2	60
Annual IC Cost Burden (Dollars)	3,600	660	2,940

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