Information Collection

Gratuitous Services Agreement and Volunteer Release and Hold Harmless

IC 221540 under ICR 201605-1670-002 · OMB 1670-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0031 can be found here:

Documents and Forms

Document Name Document Type
Gratuitous Services Agreement_IP Letter Head v3 05-16-2016.docx Other-Form Agreement
Volunteer Release and Hold Harmless_IP Letter Head v3 05-16-2016.docx Other-Form Agreement

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Gratuitous Services Agreement and Volunteer Release and Hold Harmless	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
Other-Form Agreement			Gratuitous Services Agreement_IP Letter Head v3 05-16-2016.docx		Yes	Yes	Fillable Fileable
Other-Form Agreement			Volunteer Release and Hold Harmless_IP Letter Head v3 05-16-2016.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: DHS/ALL-002 - Department of Homeland Security (DHS) Mailing and Other Lists	FR Citation: 73 FR 228

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	150	150
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.