Temporary Contractor Information Worksheet, GSA Form 850

Temporary Contractor Information Worksheet; GSA Form 850

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0283 can be found here:

Documents and Forms

Document Name Document Type
Form GSA Form 850 Temporary Contractor Information Worksheet, GSA Form 850 Form and Instruction
GSA Form 850 Temporary Contractor Information Worksheet GSA 850 5-2009.pdf www.gsa.gov/forms Form and Instruction

Information Collection (IC) Details

IC Title:	Temporary Contractor Information Worksheet, GSA Form 850	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	GSA Form 850	Temporary Contractor Information Worksheet	GSA 850 5-2009.pdf	http://www.gsa.gov/forms	Yes	No	Fillable Printable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title: Privacy Act of 1974; Notice of Updated Systems of Records	FR Citation: 73 FR 35690

Number of Respondents: 24,480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	24,480	0	24,480
Annual IC Time Burden (Hours)	6,120	6,120	0
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.