Regulatory Collection Filing

Preaward Survey Forms (Standard Forms 1403, 1404, 1405, 1406, 1407, and 1408)

RCF 202102-2900-001CF · Host ICR 202011-9000-002 · OMB 9000-0011

RCF Summary

Host OMB Control No.	9000-0011
Host ICR Reference No.	202011-9000-002
Agency/Subagency	VA
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2021-02-22
Conclusion Date	2021-02-22
Agency Tracking No.	PPS
Related Links	OMB 9000-0011 · ICR 202011-9000-002 · Retrieve Notice of Action (NOA)

Terms of Clearance

VA may use this common form in conformance with requirements set forth in 41 CFR Part 102-194 and in GSA's Standard and Optional Forms Procedural Handbook.

RCF Details

View RCF - OIRA Conclusion

RCF ID: 202102-2900-001CF	Previous RCF ID:
Status: Active	Expiration Date: 01/31/2024
Agency/Subagency: VA	Agency Tracking No: PPS
Host OMB Control No: 9000-0011	Host ICR Reference No: 202011-9000-002

Title: Preaward Survey Forms (Standard Forms 1403, 1404, 1405, 1406, 1407, and 1408)

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/22/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/22/2021
Terms of Clearance: VA may use this common form in conformance with requirements set forth in 41 CFR Part 102-194 and in GSA's Standard and Optional Forms Procedural Handbook.

Description of Agency Usage: The contracting officer uses the information to determine whether a prospective contractor is responsible, i.e. capable of performing the contract.

Authorizing Statute(s): None

Annual Cost to Federal Government: $7,344
Agency Contact: Bogdan Vaga 202 382-2667 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Preaward Survey Forms (SFs 1403, 1404, 1405, 1406, 1407, and 1408)	6	144	8,208	Form	SF1403	Pre-Award Survey of Prospective Contractor - General
				Form	SF1404	Pre-Award Survey of Prospective Contractor - Technical
				Form	SF1405	Pre-Award Survey of Prospective Contractor - Production
				Form	SF1406	Pre-Award Survey of Prospective Contractor - Quality Assurance
				Form	SF1407	Pre-Award Survey of Prospective Contractor - Financial Capability
				Form	SF1408	Pre-Award Survey of Prospective Contractor - Accounting System

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	6	6
Annual Time Burden (Hours)	144	144
Annual Cost Burden (Dollars)	8,208	8,208

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is the agency's first time having to record its own burden for these common forms.