Information Collection

CI/KR Sector Clearance Program Request

IC 184325 under ICR 201106-1670-003 · OMB 1670-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0013 can be found here:

Documents and Forms

Document Name Document Type
Form DHS Form 9014 CI/KR Sector Clearance Program Request Form and Instruction
DHS Form 9014 Critical Infrastructure Private Sector Clearance Program DHS Form 9014 Private Sector Clearance Request Form (05-11).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CI/KR Sector Clearance Program Request	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	DHS Form 9014	Critical Infrastructure Private Sector Clearance Program Request	DHS Form 9014 Private Sector Clearance Request Form (05-11).pdf		No		Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: DHS Office of Security	FR Citation: 71 FR 53697

Number of Respondents: 450	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	450	200	250
Annual IC Time Burden (Hours)	75	33	42
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.