Information Collection

Support Anti-terrorism by Fostering Effective Technologies Act of 2002

IC 20667 under ICR 200610-1640-002 · OMB 1640-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1640-0001 can be found here:

Documents and Forms

Document Name Document Type
Form DHS FORM 10001 (10 Support Anti-terrorism by Fostering Effective Technologies Act of 2002 Form
DHS FORM 10001 (10 APPLICATION FOR TRANSFER OF SAFETY ACTDESIGNATION AND CE DHS Form 10001.pdf www.safetyact.gov/ Form
DHS FORM 10002 (10 NOTICE OF MODIFICATION OF QUALIFIED ANTI-TERRORISM TECHN DHS Form 10002.pdf www.safetyact.gov/ Form
DHS FORM 10003 (10 NOTICE OF LICENSE OF QUALIFIED ANTI-TERRORISMTECHNOLOGY DHS Form 10003.pdf www.safetyact.gov/ Form
DHS Form 10004 (10 SAFETY ACT BLOCK CERTIFICATION APPLICATION DHS Form 10004.pdf www.safetyact.gov/ Form
DHS Form 10005 (10 SAFETY ACT BLOCK DESIGNATION APPLICATION DHS Form 10005.pdf www.safetyact.gov/ Form
DHS Form 10006 (10 Application for SAFETY Act Developmental Testing and Eva DHS Form 10006.pdf www.safetyact.gov/ Form
DHS Form 10007 (10 Application for SAFETY Certification DHS Form 10007.pdf www.safetyact.gov/ Form
DHS Form 10008 (10 Application for SAFETY Act Designation DHS Form 10008.pdf www.safetyact.gov/ Form
DHS Form 10009 (10 REQUEST FOR PRE-APPLICATION CONSULTATION DHS Form 10009.pdf www.safetyact.gov/ Form
DHS Form 10010 (10 REGISTRATION AS A SELLER OF ANTI-TERRORISM TECHNOLOGY DHS Form 10010.pdf www.safetyact.gov/ Form
Application+Kit+Version+2.pdf New Safety Act Application Kit IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Support Anti-terrorism by Fostering Effective Technologies Act of 2002	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 6 CFR 25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DHS FORM 10001 (10/06)	APPLICATION FOR TRANSFER OF SAFETY ACTDESIGNATION AND CERTIFICATION	DHS Form 10001.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable
Form	DHS FORM 10002 (10/06)	NOTICE OF MODIFICATION OF QUALIFIED ANTI-TERRORISM TECHNOLOGY	DHS Form 10002.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable
Form	DHS Form 10004 (10/06)	SAFETY ACT BLOCK CERTIFICATION APPLICATION	DHS Form 10004.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable
Form	DHS Form 10008 (10/06)	Application for SAFETY Act Designation	DHS Form 10008.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable
Form	DHS Form 10010 (10/06)	REGISTRATION AS A SELLER OF ANTI-TERRORISM TECHNOLOGY	DHS Form 10010.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable
Form	DHS Form 10009 (10/06)	REQUEST FOR PRE-APPLICATION CONSULTATION	DHS Form 10009.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable
Form	DHS Form 10006 (10/06)	Application for SAFETY Act Developmental Testing and EvaluationDesignation	DHS Form 10006.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable
Form	DHS FORM 10003 (10/06)	NOTICE OF LICENSE OF QUALIFIED ANTI-TERRORISMTECHNOLOGY	DHS Form 10003.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable
Form	DHS Form 10005 (10/06)	SAFETY ACT BLOCK DESIGNATION APPLICATION	DHS Form 10005.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable
Form	DHS Form 10007 (10/06)	Application for SAFETY Certification	DHS Form 10007.pdf	https://www.safetyact.gov/	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	121,400	121,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
New Safety Act Application Kit	Application+Kit+Version+2.pdf	10/30/2006

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