Information Collection

SAFECOM Survey

IC 227846 under ICR 201705-1670-002 · OMB 1670-0033.

Documents and Forms

Document Name Document Type
SAFECOM Survey Form and Instruction
SAFECOM Survey - Local government version SNS_Hard Copy_Local Version_Final_08032017.pdf Form and Instruction
SAFECOM Survey - State government version SNS_Hard Copy_State Version_Final_08032017.pdf Form and Instruction
SAFECOM Survey - Tribal government version SNS_Hard Copy_Tribal Version_Final_08032017.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SAFECOM Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	SAFECOM Survey - Local government version	SNS_Hard Copy_Local Version_Final_08032017.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	SAFECOM Survey - State government version	SNS_Hard Copy_State Version_Final_08032017.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	SAFECOM Survey - Tribal government version	SNS_Hard Copy_Tribal Version_Final_08032017.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: 3,002	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	3,002	3,002
Annual IC Time Burden (Hours)	1,501	1,501
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.