OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Various contract related forms that will be included in the Homeland Security Acquisition Regulation

ICR 201407-1600-001 · OMB 1600-0002 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DHS 700-1 Cumulative Claim and Reconciliation Statement Form Modified Repair queued
Form DHS 700-4 Employee Claim for Wage Restitution Form Modified Repair queued
Form DHS 700-3 Contractor's Release Form Modified Repair queued
Form DHS 700-2 Contract Assignment of Refunds, Rebates, Credits and Other Amounts Form Modified Repair queued
1600-0002_Supporting_Statement July 2014-comments 7 25 14.docx Supporting Statement A Uploaded 2014-07-25 Repair queued
FAR 48 CFR.pdf Supplementary Document Uploaded 2007-12-17 Repair queued
HSAR-0606.pdf Supplementary Document Uploaded 2007-12-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
20201 Cumulative Claim and Reconciliation Statement Form Modified
182985 Employee Claim for Wage Restitution Form Modified
182984 Contractor's Release Form Modified
182983 Contract Assignment of Refunds, Rebates, Credits and Other Amounts Form Modified
ICR Details
1600-0002 201407-1600-001
Historical Active 201102-1600-002
DHS
Various contract related forms that will be included in the Homeland Security Acquisition Regulation
Reinstatement without change of a previously approved collection   No
Emergency 07/18/2014
Approved without change 07/25/2014
Retrieve Notice of Action (NOA) 07/11/2014
  Inventory as of this Action Requested Previously Approved
01/31/2015 6 Months From Approved
9,537 0 0
9,537 0 0
0 0 0
During contract administration, there may be instances where a contractor or the contractor's employee requires submission of one ofthe forms; or the form may be necessary to implement Federal statute/regulation.
If DHS is not allowed to collect this information under certain contracts, contractors will be unable to obtain final payment amounts. Those contractors may be large businesses, small businesses, veteran-owned small businesses, woman-owned small businesses, small and disadvantaged businesses, etc. Additionally,those employees working under DHS construction contracts that are NOT paid the wage rate required by law will not have a mechanism by which to collect the monies due him/her.
US Code: 41 USC 401 Name of Law: Office of Federal Procurement Policy Act of 1974
  
None
Not associated with rulemaking
No
  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 9,537 0 0 0 902 8,635
Annual Time Burden (Hours) 9,537 0 0 0 902 8,635
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There has been an increase in the estimated annual burden hours previously reported for this collection. An adjustment in annual burden is necessary at this time in the amount of 902 actions and hours. The initial annual burden was based on a lower number of contract actions which related to the fact that DHS was a new agency with consolidated acquisition procedures, processes, and policies. Although there is an increase in the estimated burdened hours, there is no change in the information being collected.
$0
No
No
No
No
No
Uncollected
Kathy Strouss 202 447-5273 [email protected]
  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.
07/11/2014