View Information Collection Request (ICR) Package
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View ICR - Agency Submission
COMMENT
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Days
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OMB Control No:
3090-0086
ICR Reference No:
202512-3090-001
Status:
Received in OIRA
Previous ICR Reference No:
202211-3090-002
Agency/Subagency:
GSA
Agency Tracking No:
Title:
General Services Administration Regulation (GSAR): Proposal to Lease Space, GSA Form 1364 and Lessor’s Annual Cost Statement, GSA Form 1217
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
12/08/2025
Requested
Previously Approved
Expiration Date
36 Months From Approved
01/31/2026
Responses
1,332
1,732
Time Burden (Hours)
5,095
7,151
Cost Burden (Dollars)
142,303
518,007
Abstract:
This information collection applies to General Services Administration’s (GSA) individual lease procurements. The information collection will occur by submitting GSA Form 1364 (to include versions 1364A, 1364A-1, and 1364WH) and GSA Form 1217. GSA would be unable to assess readily and equitably offers fairly and competitively if they were not allowed to collect data required in the information collection. The following are the General Services Administration Acquisition Regulation (GSAR) sections covered by this information collection: ● GSAR 570.802(b) ● GSAR 570.802(c) In accordance with GSAR 570.802 (b), 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(c), 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:
90 FR 48055
10/03/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 56762
12/08/2025
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
Proposal to Lease Space, GSA Form 1364 and Lessor's Annual Cost Statement, GSA Form 1217
GSA 1364A-1, GSA 1364A, GSA 1364WH, GSA 1217, GSA 1364
Lessor's Annual Cost Statement
,
Simplified Lease Proposal
,
Simplified Lease Proposal Data
,
Proposal to Lease Space (For Use with Warehouse Request for Lease Proposals)
,
Proposal to Lease Space
ICR Summary of Burden
Total Request
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
1,332
1,732
0
-400
0
0
Annual Time Burden (Hours)
5,095
7,151
0
-2,056
0
0
Annual Cost Burden (Dollars)
142,303
518,007
0
-375,704
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:
Miscellaneous Actions
Short Statement:
The total number of projects was updated to reflect FY2024 data as opposed to FY2022 data.
Annual Cost to Federal Government:
$271,073
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:
Amy Lara 816 926-7172 amy.lara@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:
12/08/2025
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