Information Collection

Part 1239 Clauses 1252.239-89 and 1252-239-90

IC 251394 under ICR 202512-2105-004 · OMB 2105-0580.

Documents and Forms

Document Name Document Type
2105-AE26 PRA Group 5 IC Instrument - 07SEP2022.docx Instruction
2105-AE26 PRA Group 5 IC Instrument - 07SEP2022.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Part 1239 Clauses 1252.239-89 and 1252-239-90	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2105-AE26 PRA Group 5 IC Instrument - 07SEP2022.docx		No		Paper Only

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 366	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	366	0	366
Annual IC Time Burden (Hours)	549	0	549
Annual IC Cost Burden (Dollars)	0	-15,648	15,648

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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