Information Collection

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

IC 36433 under ICR 202507-9000-003 · OMB 9000-0029.

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Information Collection (IC) Details

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IC Title:	Extraordinary Contractual Action Requests - FAR Sections Affected: 50.103-3, 50.103-4, 50.104-3 and 52.250-1	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 50.103-4 48 CFR 50.103-3 48 CFR 52.250-1 48 CFR 50.104-3

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: 20	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	30	-135	165
Annual IC Time Burden (Hours)	1,440	-5,408	6,848
Annual IC Cost Burden (Dollars)	144,000	-424,384	568,384

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