Information Collection

Chemical-terrorism Vulnerability Information (CVI) Authorization

IC 191763 under ICR 201704-1670-002 · OMB 1670-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0015 can be found here:

Documents and Forms

Document Name Document Type
Form DHS Form 9012 Chemical-terrorism Vulnerability Information (CVI) Authorization Form and Instruction
DHS Form 9012 Chemical-terrorism Vulnerability information Training & CVI AUTHORIZATION Instrument_8 August 2017.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Chemical-terrorism Vulnerability Information (CVI) Authorization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	DHS Form 9012	Chemical-terrorism Vulnerability information Training & Authorized User Application	CVI AUTHORIZATION Instrument_8 August 2017.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: Mailing and Other Lists System	FR Citation: 73 FR 71659

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,000	-10,000	30,000
Annual IC Time Burden (Hours)	10,000	-20,000	30,000
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.