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 201806-1600-001 · OMB 1600-0002 · 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
30 Day FRN 1600-0002 062018.pdf Supplementary Document Uploaded 2018-06-28 Repair queued
60 Day FRN 1600-0002 032018.pdf Supplementary Document Uploaded 2018-06-28 Available
1600-0002_Supporting_Statement 062018.docx Supporting Statement A Uploaded 2018-06-28 Repair queued
FAR 48 CFR.pdf Supplementary Document Uploaded 2007-12-17 Available
HSAR-0606.pdf Supplementary Document Uploaded 2007-12-12 Available
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 201806-1600-001
Active 201501-1600-001
DHS
Various contract related forms that will be included in the Homeland Security Acquisition Regulation
Extension without change of a currently approved collection   No
Regular
Approved without change 11/07/2018
Retrieve Notice of Action (NOA) 06/28/2018
  Inventory as of this Action Requested Previously Approved
11/30/2021 36 Months From Approved 11/30/2018
56,238 0 9,537
56,238 0 9,537
0 0 0
This information collection associated with the forms are necessary in order to implement applicable parts of the Homeland Security Acquisition Regulation (HSAR) (48 CFR Chapter 30). The forms under this collection of information request are used by offerors, contractors, and the general public to comply with requirements in contracts awarded by the Department of Homeland Security (DHS) and the information collected is used by contracting officers to ensure compliance with terms and conditions of DHS contracts. These forms will be used by contractors and/or contract employees during contract administration to collect the following: DHS Forms 0700-01, 0700-02 and 0700-03 are used to collect information when applicable and prior to contract closure to determine whether there are excess funds are available for deobligation versus remaining (payable) funds on contracts; assignment or transfer all rights, title, and interest to the Government; and release from liability. The contracting officer obtains the listed DHS Forms 0700-01, 0700-02 and 0700-03 from the contractor for closeout, as applicable. DHS Form 0700-04 is used by contractor employees for claims for unpaid wages.
US Code: 41 USC 401 Name of Law: Office of Federal Procurement Policy Act of 1974
  
None
Not associated with rulemaking
  83 FR 9531 03/06/2018
83 FR 27013 06/11/2018
Yes
  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 56,238 9,537 0 0 46,701 0
Annual Time Burden (Hours) 56,238 9,537 0 0 46,701 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The burden estimates provided in response to Item 12 above are based upon contracts reported by DHS and its Components to the FPDS for Fiscal Year 2016. No program changes occurred and there were no changes to the information being collected. However, the burden was adjusted to reflect an agency adjustment increase of 46701 in the number of respondents within DHS for Fiscal Year 2016, as well as an increase in the average hourly wage rate.
$2,682,552
No
    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.
06/28/2018