Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11

ICR 202101-9000-005 · OMB 9000-0001 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 9000-0001 can be found here:

2024-04-30 - No material or nonsubstantive change to a currently approved collection
2024-03-11 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document	Type	Status	Availability
Form SF 28 Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	Form and Instruction	Modified	Repair queued
9000-0001 Supporting Statement 2021.docx	Supporting Statement A	Uploaded 2021-01-22	Missing upstream

IC Document Collections

IC ID	Collection	Type	Status	Form
36373	Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	Form and Instruction	Modified

ICR Details

OMB Control No: 9000-0001	ICR Reference No: 202101-9000-005
Status: Received in OIRA	Previous ICR Reference No: 201809-9000-001
Agency/Subagency: FAR	Agency Tracking No:
Title: Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 01/22/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2021
Responses	20	488
Time Burden (Hours)	6	146
Cost Burden (Dollars)	342	7,884

Abstract: The Standard Form (SF) 28, Affidavit of Individual Surety, is used by all executive agencies, including the Department of Defense, to obtain information from individuals wishing to serve as sureties to Government bonds.

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 70151	11/04/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 6650	01/22/2021
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Standard Form 28, Affidavit of Individual Surety - FAR Section Affected: 52.228-11	SF 28	Affidavit of Individual Surety

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	20	488	-468
Annual Time Burden (Hours)	6	146	-140
Annual Cost Burden (Dollars)	342	7,884	-7,542

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease of responses from 488 to 20 and the associated decrease in estimated burden hours from 146 to 6 is an adjustment due to a change in the methodology to be consistent with FAR Case 2017-003, Individual Sureties (proposed at 85 FR 7910 12 FEB 2020, finalized at 86 FR 3682 JAN 2021); and use of the most current data available.

Annual Cost to Federal Government: $1,140

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Edward Loeb 2025010650 [email protected]

Common Form ICR: No