Information Collection

Contractor Information Worksheet, GSA Form 850

IC 188501 under ICR 202609-3090-003 · OMB 3090-0283.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form GSA 850 Contractor Information Worksheet Contractor Information Worksheet, GSA Form 850	Form and Instruction
GSA 850 Contractor Information Worksheet Draft New CIW.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GSA 850				Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title: GSA Credential and Identity Management System (GCIMS)

FR Citation: 79 FR 47139

Number of Respondents: 22,824

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
	Requested	Previously Approved
Annual Number of Responses for this IC	22,824	22,824
Annual IC Time Burden (Hours)	5,706	5,706
Annual IC Cost Burden (Dollars)	358,109	358,109

Documents for IC

table that charts IC Documents
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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