Proposal to Lease Space; GSA Form 1364

Forms and Documents

Document Name	Status
Form GSA-1364 Proposal to Lease Space; GSA Form 1364 Form	Modified
3090-0086-Justification.doc Supporting Statement A	2010-01-13

IC Document Collections

IC ID	Document Title	Status
32396	Proposal to Lease Space; GSA Form 1364 Form	Modified

ICR Details

OMB Control No: 3090-0086	ICR Reference No: 200912-3090-004
Status: Historical Active	Previous ICR Reference No: 200502-3090-003
Agency/Subagency: GSA	Agency Tracking No:
Title: Proposal to Lease Space; GSA Form 1364
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/12/2010
	Date Received in OIRA: 03/03/2010
Terms of Clearance: GSA must report this collection as a violation unless they can provide evidence it was not in use during the time the collection was not valid.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2013	36 Months From Approved
Responses	5,733	0	0
Time Burden (Hours)	28,783	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The GSA Form 1364, Proposal to Lease Space, is used to obtain information about property being offered for lease to house Federal agencies. The form also provides an equitable way to compare lessor proposals.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 52811	10/14/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 1788	01/13/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Proposal to Lease Space; GSA Form 1364	GSA-1364, 1364	Proposal to Lease Space ,   GSA Form 1364 Instructions

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,733	0	0	717	0	5,016
Annual Time Burden (Hours)	28,783	0	0	3,600	0	25,183
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This increase is attributed to the increase in the number and complexity of the leasing contracts awarded since the last clearance expired in 1991. The program changed in the late 1990s from collecting information about rental rates based on ratios of construction items to be delivered (linear feet of partitioning, number of electrical outlets, etc.) and changed to collecting information based on a tenant improvement (TI) allowance per square foot. Use of the TI allowance requires less time on the part of the offerors when compiling their offer.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/03/2010

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