Information Collection

State Domestic Preparedness Program

IC 20874 under ICR 200609-1651-001 · OMB 1651-0101.

Documents and Forms

Document Name Document Type
Survey Letter.doc www.dhssurvey.org. Instruction
9003 (1/07) National Preparedness Task Force Survey of State and Loc Survey Formatted - 92006.doc www.dhssurvey.org Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Domestic Preparedness Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Survey Letter.doc	http://www.dhssurvey.org.	Yes	Yes	Fillable Fileable
Form	9003 (1/07)	National Preparedness Task Force Survey of State and Local Government Emergency Officials	Survey Formatted - 92006.doc	www.dhssurvey.org	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,059	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,059	2,059
Annual IC Time Burden (Hours)	679	679
Annual IC Cost Burden (Dollars)	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.