General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0086 can be found here:

Documents and Forms

Document Name Document Type
Form GSA 1217 General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217 Form and Instruction
GSA 1217 Lessor's Annual Cost Statement GSA1217-16.pdf Form and Instruction
GSA 1364 Proposal To Lease Space GSA1364-16.pdf Form
GSA 1364A Simplified Lease Proposal GSA1364A-16.pdf Form
GSA 1364A-1 Simplified Lease Proposal Data GSA1364A-1-16.pdf Form
GSA 1364WH Proposal to Lease Space (For Use with Warehouse Request GSA1364WH-16.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 48 CFR 570.802(d) 48 CFR 570.802(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GSA 1217	Lessor's Annual Cost Statement	GSA1217-16.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364	Proposal To Lease Space	GSA1364-16.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364A	Simplified Lease Proposal	GSA1364A-16.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364A-1	Simplified Lease Proposal Data	GSA1364A-1-16.pdf	Yes	Yes	Fillable Fileable
Form	GSA 1364WH	Proposal to Lease Space (For Use with Warehouse Request for Lease Proposals)	GSA1364WH-16.pdf	Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 426	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,431	-190	1,621
Annual IC Time Burden (Hours)	5,881	-716	6,597
Annual IC Cost Burden (Dollars)	425,821	22,585	403,236

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.