SAFECOM Membership Questionnaire

Documents and Forms

Document Name Document Type
SAFECOM Membership Questionnaire Form and Instruction
1670-0046_SAFECOM Membership Questionnaire_Updates_FINAL (11192024).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SAFECOM Membership Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	N/A	N/A	1670-0046_SAFECOM Membership Questionnaire_Updates_FINAL (11192024).docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 91	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	91	41	50
Annual IC Time Burden (Hours)	23	10	13
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.