OMB control number

General Services Administration Regulation (GSAR): Proposal to Lease Space, GSA Form 1364 and Lessor’s Annual Cost Statement, GSA Form 1217

OMB 3090-0086 · GSA.

OMB 3090-0086

This information collection applies to General Services Administration’s (GSA) individual lease procurements. The information collection will occur by submitting GSA Form 1364 (to include versions 1364A, 1364A-1, and 1364WH) and GSA Form 1217. GSA would be unable to assess readily and equitably offers fairly and competitively if they were not allowed to collect data required in the information collection. The following are the General Services Administration Acquisition Regulation (GSAR) sections covered by this information collection: ● GSAR 570.802(b) ● GSAR 570.802(c) In accordance with GSAR 570.802 (b), GSA Form 1364 Proposal to Lease Space is used to obtain information about property being offered for lease to house Federal agencies. In accordance with GSAR 570.802(c), GSA Form 1217 Lessor’s Annual Cost Statement is used to obtain pricing information regarding offered services and lease commissions.

The latest form for General Services Administration Regulation (GSAR): Proposal to Lease Space, GSA Form 1364 and Lessor’s Annual Cost Statement, GSA Form 1217 expires 2029-02-28 and is listed under ICR 202512-3090-001.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-3090-001 Extension without change of a currently approved collection 2025-12-08 Approved without change
202211-3090-002 Revision of a currently approved collection 2022-11-02 Approved without change
201911-3090-003 Revision of a currently approved collection 2019-11-13 Approved without change
201604-3090-001 Revision of a currently approved collection 2016-08-12 Approved without change
201211-3090-003 Revision of a currently approved collection 2013-04-10 Approved without change
200912-3090-004 Reinstatement with change of a previously approved collection 2010-03-03 Approved without change
200502-3090-003 Extension without change of a currently approved collection 2005-02-22 Approved with change
200201-3090-003 Revision of a currently approved collection 2002-01-14 Approved without change
200108-3090-001 Reinstatement with change of a previously approved collection 2001-08-07 Approved without change
198906-3090-003 No material or nonsubstantive change to a currently approved collection 1989-06-01 Approved with change
198905-3090-002 Extension without change of a currently approved collection 1989-05-27 Approved without change
198801-3090-001 Reinstatement with change of a previously approved collection 1988-01-28 Approved without change
198411-3090-002 Revision of a currently approved collection 1984-11-08 Approved without change
198201-3090-012 New collection (Request for a new OMB Control Number) 1982-01-08 Approved without change