OMB control number

Representations and Certifications

OMB 3037-0013 · CPBSD.

OMB 3037-0013

The data is integral to the Commission’s ability to ensure the integrity of the AbilityOne Program, which allows qualified NPAs employing people who are blind or have significant disabilities to collectively deliver $4 billion worth of products and services to the U.S. Government each year. The JWOD Act requires the Commission to monitor and validate several NPA performance outcomes. Additional data is needed to validate the effect and effectiveness of the AbilityOne Program in creating employment opportunities for people with disabilities and providing those individuals with the significant job supports and accommodations necessary for them to be successful.

The latest form for Representations and Certifications expires 2028-03-31 and is listed under ICR 202411-3037-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 3037-0013 Nonprofit Agency Annual AbilityOne Representations and Certifications (ARC)	Form and Instruction
Form Form 3 NPA Annual AbilityOne Representations and Certifications (ARC)	Form
Form Reps and Certs Annual Reps and Certs	Form and Instruction
Form Reps and Certs Annual Representations and Certification	Form and Instruction
Form 3 Supporting Statement 3.13.2025.docx	Supporting Statement A
FORM 3 OMB Support Form V2 - (I).docx	Supporting Statement A
Annual Reps and Certs Form 7_27_15 (I).pdf	Supplementary Document
Annual Reps and Certs Form 7_27_15 (I).pdf	Supplementary Document
41 CFR 51-4.3 (up to date as of 10-09-2024) (1).pdf	Supplementary Document
41 CFR 51-4.3 (up to date as of 10-09-2024) (1).pdf	Supplementary Document
JWOD.pdf	Supplementary Document
JWOD.pdf	Supplementary Document
60 Day FR notice Reps and Certs Form 3 2024-09706.pdf	Supplementary Document
60 Day FR notice Reps and Certs Form 3 2024-09706.pdf	Supplementary Document
30 Day FR Notice Rep and Certs Form 3 2024-26659.pdf	Supplementary Document
30 Day FR Notice Rep and Certs Form 3 2024-26659.pdf	Supplementary Document
NPA Annual AbilityOne Representations and Certifications (ARC)	Form and Instruction
NPA Annual AbilityOne Representations and Certifications (ARC)	Form
Annual Representations and Certification	Form and Instruction
Annual Representations and Certification	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202411-3037-002	Reinstatement with change of a previously approved collection	2024-11-20
201505-3037-001	New collection (Request for a new OMB Control Number)	2015-08-19		Approved without change

OMB Details

Annual Representations and Certification

Federal Enterprise Architecture: Community and Social Services - Social Services

Information collection instruments
Form	Name	Electronic access	Type
Form Reps and Certs	Annual Reps and Certs	Printable Only	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.