Extraordinary Contractual Action Requests - FAR Sections Affected: 50.103-3, 50.103-4, 50.104-3 and 52.250-1

ICR 202507-9000-003

OMB: 9000-0029

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2025-07-03
ICR Details
9000-0029 202507-9000-003
Received in OIRA 202302-9000-002
FAR
Extraordinary Contractual Action Requests - FAR Sections Affected: 50.103-3, 50.103-4, 50.104-3 and 52.250-1
Extension without change of a currently approved collection   No
Regular 07/03/2025
  Requested Previously Approved
36 Months From Approved 08/31/2025
30 165
1,440 6,848
144,000 568,384

This clearance covers the information that contractors must submit to comply with the following FAR requirements: a. FAR 50.103-3, Contract Adjustment. This section specifies the minimum information that a contractor must include when seeking a contract adjustment that would facilitate the national defense, as set forth in Public Law 85-804. The request, normally a letter, shall state as a minimum - (1) The precise adjustment requested; (2) The essential facts, summarized chronologically in narrative form; (3) The contractor's conclusions based on these facts, showing, in terms of the considerations set forth in FAR 50.103-1 and 50.103-2, when the contractor considers itself entitled to the adjustment; and (4) Whether or not - (i) All obligations under the contracts involved have been discharged; (ii) Final payment under the contracts involved has been made; (iii) Any proceeds from the request will be subject to assignment or other transfer, and to whom; and (iv) The contractor has sought the same, or a similar or related, adjustment from the Government Accountability Office or any other part of the Government, or anticipates doing so. If the request exceeds the simplified acquisition threshold, the contractor must certify that the request is made in good faith and the data are accurate and complete. b. FAR 50.103-4, Facts and Evidence. This section covers additional information that the contracting officer or other agency official may request from the contractor to support any request made under FAR 50.103-3. c. FAR 50.104-3 Special Procedures for Unusually Hazardous or Nuclear Risks. This section provides the information a contractor shall submit to the contracting officer when requesting the inclusion of the indemnification clause for unusually hazardous or nuclear risks at FAR 52.250-1. d. FAR 52.250-1, Indemnification Under Public Law 85-804. This clause allows contractors to be indemnified against unusually hazardous or nuclear risks. Paragraph (g) requires the contractor to promptly notify the contracting officer and furnish pertinent information for any claim or loss that may involve indemnification under the clause.

None
None

Not associated with rulemaking

  90 FR 15465 04/11/2025
90 FR 29549 07/03/2025
Yes

1
IC Title Form No. Form Name
Extraordinary Contractual Action Requests - FAR Sections Affected: 50.103-3, 50.103-4, 50.104-3 and 52.250-1

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 165 0 -135 0 0
Annual Time Burden (Hours) 1,440 6,848 0 -5,408 0 0
Annual Cost Burden (Dollars) 144,000 568,384 0 -424,384 0 0
No
Yes
Miscellaneous Actions
This extension includes adjustments to the public and Government burden estimates based on the following: • The estimated cost per hour is based on use of the calendar year 2025 OPM GS wage rates for the rest of the United States. • There are no known sources of data related to this information collection. Previous extensions of the collection used data for FY 2015 from a manual data pull which required a significant administrative burden from the Department of Defense components to obtain. For this extension, a reasonable estimate of the number of respondents and responses was obtained based on FPDS data for fiscal years 2021 through 2024.

$124,000
No
    No
    No
No
No
No
No
Camara Francis 202 550-0935 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/03/2025


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