View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
3090-0086
ICR Reference No:
201911-3090-003
Status:
Historical Active
Previous ICR Reference No:
201604-3090-001
Agency/Subagency:
GSA
Agency Tracking No:
Title:
General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/16/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/13/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2022
36 Months From Approved
12/31/2019
Responses
1,431
0
1,621
Time Burden (Hours)
5,881
0
6,597
Cost Burden (Dollars)
425,821
0
403,236
Abstract:
In accordance with GSAR 570.802 (c), GSA Form 1364 Proposal to Lease Space is used to obtain information about property being offered for lease to house Federal agencies. In accordance with GSAR 570.802(d), GSA Form 1217 Lessor’s Annual Cost Statement is used to obtain pricing information regarding offered services and lease commissions.
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:
84 FR 44306
08/23/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 61617
11/13/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
General Services Administration Regulation (GSAR): Proposal to Lease Space; GSA Forms 1364WH, 1364, 1364A, 1364A-1, and 1217
GSA 1364, GSA 1364A-1, GSA 1364A, GSA 1364WH, GSA 1217
Lessor's Annual Cost Statement
,
Proposal To Lease Space
,
Simplified Lease Proposal
,
Simplified Lease Proposal Data
,
Proposal to Lease Space (For Use with Warehouse Request for Lease Proposals)
ICR Summary of Burden
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
1,431
1,621
0
-190
0
0
Annual Time Burden (Hours)
5,881
6,597
0
-716
0
0
Annual Cost Burden (Dollars)
425,821
403,236
0
22,585
0
0
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:
Cutting Redundancy
Short Statement:
The estimated burden to the public and the estimated cost to the Government have changed. The lease models and associated number of projects has changed since the last information collection renewal. In addition, the costs per hour used for the calculations were increased to reflect current wage rates. The burden hours are based on the number of preparation hours estimated per offer to complete the forms associated with the different lease models as of 2018. The burden hours estimated includes the time for reviewing instructions, search existing data sources, gathering and maintaining the data needed, and completing and reviewing various responses.
Annual Cost to Federal Government:
$258,289
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?
Uncollected
Agency Contact:
Christina Mullins 202 969-4966 christina.mullins@gsa.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
11/13/2019
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