Information Collection

Suppliers Declaration Of Compliance

IC 187393 under ICR 201204-1640-001 · OMB 1640-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1640-0015 can be found here:

Documents and Forms

Document Name Document Type
Form DHS FORM 10044 SUPPLIERS DECLARATION OF COMPLIANCE Form and Instruction
DHS FORM 10044 Supplier's Declaration of Compliance P25CABSDOC_REQSeptember2009v2.pdf www.safecomprogram.gov/SiteCollectionDocuments/P25CABSDOC_REQSeptember2009v2.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SUPPLIERÂS DECLARATION OF COMPLIANCE	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 10044	Supplier's Declaration of Compliance	P25CABSDOC_REQSeptember2009v2.pdf	http://www.safecomprogram.gov/SiteCollectionDocuments/P25CABSDOC_REQSeptember2009v2.pdf	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	72	-428	500
Annual IC Time Burden (Hours)	144	-356	500
Annual IC Cost Burden (Dollars)	9,360	9,360	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.