Information Collection

Citizen Corps Individual Registration

IC 21175 under ICR 200911-1660-003 · OMB 1660-0099.

Documents and Forms

Document Name Document Type
Form FEMA Form 646-0 Citizen Corps Individual Registration Form and Instruction
FEMA Form 646-0 Citizen Corps Individual Registration Citizen Corps - Sign Up for More Information.htm citizencorps.gov/cc/addSubscribers.do Form and Instruction
Executive Order 13254.pdf Executive Order 13254 IC Document
5 U.S.C. 301.pdf 5 U.S.C. 301 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Citizen Corps Individual Registration	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	FEMA Form 646-0	Citizen Corps Individual Registration	Citizen Corps - Sign Up for More Information.htm	http://citizencorps.gov/cc/addSubscribers.do	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,000	-20,000	40,000
Annual IC Time Burden (Hours)	1,600	-1,733	3,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Executive Order 13254	Executive Order 13254.pdf	01/29/2002
5 U.S.C. 301	5 U.S.C. 301.pdf	09/29/2006

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