Information Collection

Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217

IC 32396 under ICR 202512-3090-001 · OMB 3090-0086.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA 1217 Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217	Form and Instruction
Form GSA 1217 Lessor's Annual Cost Statement Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217	Form and Instruction
Form GSA 1364A Simplified Lease Proposal Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217	Form
Form GSA 1364A-1 Simplified Lease Proposal Data Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217	Form
Form GSA 1364WH Proposal to Lease Space (For Use with Warehouse Request for Lease Proposals) Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217	Form
Form GSA 1364 Proposal to Lease Space Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217	Form and Instruction
GSA 1217 Lessor's Annual Cost Statement GSA1217-16.pdf	Form and Instruction
GSA 1217 Lessor's Annual Cost Statement GSA1217-16.pdf	Form and Instruction
GSA 1364A Simplified Lease Proposal GSA1364A-16.pdf	Form
GSA 1364A Simplified Lease Proposal GSA1364A-16.pdf	Form
GSA 1364A-1 Simplified Lease Proposal Data GSA1364A-1-16.pdf	Form
GSA 1364A-1 Simplified Lease Proposal Data GSA1364A-1-16.pdf	Form
GSA 1364WH Proposal to Lease Space (For Use with Warehouse Request GSA1364WH-16.pdf	Form
GSA 1364WH Proposal to Lease Space (For Use with Warehouse Request GSA1364WH-16.pdf	Form
GSA 1364 Proposal to Lease Space GSA 1364 - Proposal to Lease Space - 2022 draft - Flat PDF file (3).pdf	Form and Instruction
GSA 1364 Proposal to Lease Space GSA 1364 - Proposal to Lease Space - 2022 draft - Flat PDF file (3).pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 570.802(c) 48 CFR 570.802(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GSA 1217	Yes	Yes	Fillable Fileable
Form	GSA 1364A	Yes	Yes	Fillable Fileable
Form	GSA 1364A-1	Yes	Yes	Fillable Fileable
Form	GSA 1364WH	Yes	Yes	Fillable Fileable
Form and Instruction	GSA 1364	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 413

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,332	-400	1,732
Annual IC Time Burden (Hours)	5,095	-2,056	7,151
Annual IC Cost Burden (Dollars)	142,303	-375,704	518,007

Documents for IC

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

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