Information Collection

Technical Data Declaration, Revision, and Withholding of Payment–Major Systems

IC 257597 under ICR 202602-9000-003 · OMB 9000-0095.

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Information Collection (IC) Details

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IC Title:	Technical Data Declaration, Revision, and Withholding of PaymentâMajor Systems	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 52.227-21

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: 8	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	40	-70	110
Annual IC Time Burden (Hours)	40	-70	110
Annual IC Cost Burden (Dollars)	2,840	-4,860	7,700

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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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