Information Collection

SAFECOM Nationwide Survey

IC 258892 under ICR 202107-1670-002 · OMB 1670-0048.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0048 can be found here:

Documents and Forms

Document Name Document Type
SAFECOM Nationwide Survey Form
SNS Local Questions Attachment_1_sns_2023_local_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0 Form
SNS Federal Questions Attachment_4_sns_2023_federal_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0 Form
SNS Tribal Questions Attachment_2_sns_2023_tribal_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0 Form
SNS State_Territorial Questions Attachment_3_sns_2023_state_territorial_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0 Form
23_0320_1670-0048_Generic Submission Form with DHS PRA comments_clean.docx SAFECOM Nationwide Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SAFECOM Nationwide Survey	Agency IC Tracking Number:

IC Status: New

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	N/A	SNS Local Questions	Attachment_1_sns_2023_local_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Yes	Yes	Fillable Fileable
Form	N/A	SNS Federal Questions	Attachment_4_sns_2023_federal_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Yes	Yes	Fillable Fileable
Form	N/A	SNS Tribal Questions	Attachment_2_sns_2023_tribal_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Yes	Yes	Fillable Fileable
Form	N/A	SNS State_Territorial Questions	Attachment_3_sns_2023_state_territorial_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	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: 6,398	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	6,398	6,398
Annual IC Time Burden (Hours)	3,199	3,199
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SAFECOM Nationwide Survey	23_0320_1670-0048_Generic Submission Form with DHS PRA comments_clean.docx	03/22/2023

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