Extraordinary Contractual Action Requests - FAR Sections Affected: 50.103-3, 50.103-4, 50.104-3, and 52.250-1

ICR 201908-9000-006

OMB: 9000-0029

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2019-08-13
ICR Details
9000-0029 201908-9000-006
Active 201604-9000-012
FAR
Extraordinary Contractual Action Requests - FAR Sections Affected: 50.103-3, 50.103-4, 50.104-3, and 52.250-1
Extension without change of a currently approved collection   No
Regular
Approved without change 09/14/2019
Retrieve Notice of Action (NOA) 08/13/2019
  Inventory as of this Action Requested Previously Approved
09/30/2022 36 Months From Approved 09/30/2019
165 0 165
6,848 0 6,848
373,890 0 314,706

This request covers the collection of information under 50 U.S.C. 1431 et seq. and Executive Order (E.O.) 10789 dated November 14, 1958, as amended by E.O. 12919 dated June 3, 1994, E.O. 13232 dated October 20, 2001, and E.O. 13286 dated February 28, 2003, that allows contracts to be entered into, amended, or modified in order to facilitate national defense. In order for a firm to be granted relief under the Act, specific evidence must be submitted which supports the firm's assertion that relief is appropriate and that the matter cannot be disposed of under the terms of the contract.

None
None

Not associated with rulemaking

  84 FR 25809 06/04/2019
84 FR 40056 08/13/2019
No

1
IC Title Form No. Form Name
Extraordinary Contractual Action Requests - FAR Sections Affected: 50.103-3, 50.103-4, 50.104-3, and 52.250-1

  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 165 165 0 0 0 0
Annual Time Burden (Hours) 6,848 6,848 0 0 0 0
Annual Cost Burden (Dollars) 373,890 314,706 0 59,184 0 0
No
No

$215,578
No
    No
    No
No
No
No
Uncollected
Cecelia Davis 2022190202 Cecelia.Davis@gsa.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/13/2019


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