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Procurement Collusion Strike Force Complaint Form
Procurement Collusion Strike Force Complaint Form
OMB: 1105-0109
IC ID: 239802
OMB.report
DOJ/LA
OMB 1105-0109
ICR 202309-1105-002
IC 239802
( )
Documents and Forms
Document Name
Document Type
Form 1105-NEW
Procurement Collusion Strike Force Complaint Form
Form and Instruction
1105-NEW Procurement Collusion Strike Force Complaint Form
PCSF Screenshot - Form.pdf
Form and Instruction
1105-NEW Procurement Collusion Strike Force Complaint Form
PCSF Screenshot - Form.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Procurement Collusion Strike Force Complaint Form
Agency IC Tracking Number:
1105-NEW
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
28 CFR 0.40
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1105-NEW
Procurement Collusion Strike Force Complaint Form
PCSF Screenshot - Form.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Personnel
Privacy Act System of Records
Title:
Public Complaints and Inquiries Files
FR Citation:
82 FR 24147
Number of Respondents:
45
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
45
0
-455
0
0
500
Annual IC Time Burden (Hours)
23
0
-227
0
0
250
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.