53.302-312 Optional Form 312

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SMALL DISADVANTAGED BUSINESS (SDB)
PARTICIPATION REPORT

OMB No.: 9000-0150
Expires: 06/30/2003

 

 

Public reporting burden for this collection of information is estimated to average 8.66 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, DC 20405.

1A. CONTRACTOR'S NAME

2. CONTRACT NUMBER

IB. CONTRACTOR'S ADDRESS

3. TOTAL PARTICIPATION OF SDBs IN THE CONTRACT ($)

 

4. SDB PARTICIPATION AT PRIME CONTRACT LEVEL

 

A. NAICS INDUSTRY SUBSECTOR

B. DOLLAR AMOUNT

C. PERCENTAGE

5. BREAKDOWN OF SDB PARTICIPATION AT SUBCONTRACT LEVEL BY NAICS INDUSTRY SUBSECTOR

A. NAICS INDUSTRY SUBSECTOR

B. DOLLARS

C. PERCENT

A. NAICS INDUSTRY SUBSECTOR

B. DOLLARS

C. PERCENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. PREPARED BY

 

 

A. NAME OF INDIVIDUAL

 

 

 

B. DATE PREPARED

 

C. TELEPHONE NUMBER

D. E-MAIL ADDRESS

 

 

AREA CODE

NUMBER

EXTENSION

 

 

 

 

 

 

 

 

 

GENERAL INFORMATION INSTRUCTIONS

1. This form collects data on the participation of small disadvantaged business concerns in contracts that contain the clause at FAR 52.219-25, Small Disadvantaged Business Participation Program - Disadvantaged Status and Reporting.

2. Submit this report to the contracting officer. If your organization is required to report subcontracting data under an individual subcontracting plan, you may attach this report to the final SF 294, Subcontracting Report for Individual Contracts, submitted under the contract.

3. Report in whole dollars.

SPECIFIC INSTRUCTIONS

Block 3. Report the total dollar amount of participation of small disadvantaged business concerns under the contract cited in Block 2. Participation may be through subcontracting, teaming arrangement, joint ventures, or as the prime contractor (provided the prime contractor waived its right to a price evaluation adjustment).

Block 4. Report the participation, if any, by small disadvantaged business concerns in this contract at the prime contract level. All prime contract dollars must be reported under the North American Industrial Classification System (NAICS) assigned to the prime contract. Report the dollar amount and percentage of the total contract value.

Block 5. Report, by NAICS Industry Subsector, as determined by the Department of Commerce, the participation by small disadvantaged business concerns in this contract at the subcontract level. Report the dollar amount and percentage of the total contract value.

Block 6. Provide the name, telephone number, and e-mail address of the individual who can answer questions related to this report.




OPTIONAL FORM 312 (Rev. 10-2000)