Information Collection

PREDICT Dataset Proposal Submission

IC 201447 under ICR 201203-1640-003 · OMB 1640-0012.

Documents and Forms

Document Name Document Type
Form 10074 (11/11) PREDICT Dataset Proposal Submission Form and Instruction
10074 (11/11) PREDICT Dataset Proposal Submission DHS Form 10074 (1111) Dataset Proposal Submission Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PREDICT Dataset Proposal Submission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	10074 (11/11)	PREDICT Dataset Proposal Submission	DHS Form 10074 (1111) Dataset Proposal Submission Form.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: SORN DHS/ALL-002	FR Citation: 73 FR 71659

Number of Respondents: 15	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	4	4
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.