Information Collection

DHS Healthcare Foreign Sourcing

IC 194549 under ICR 201205-0694-001 · OMB 0694-0119.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0119 can be found here:

Documents and Forms

Document Name Document Type
Form Not Applicable DHS Healthcare Foreign Sourcing Form and Instruction
Not Applicable Healthcare and Public Health (HPH) Sector HPH Manufacturers - 083010.pdf Form and Instruction
DHS Request.pdf DHS Request Letter IC Document
0694.0119.OMB_Justification.ForeignSourcing.092910.doc Justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DHS Healthcare Foreign Sourcing	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Mandatory

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	Not Applicable	Healthcare and Public Health (HPH) Sector	HPH Manufacturers - 083010.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: 700	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	9,100	9,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DHS Request Letter	DHS Request.pdf	09/14/2010
Justification	0694.0119.OMB_Justification.ForeignSourcing.092910.doc	09/29/2010

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