OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

SAFETY Act Block Designation

IC 190458 under ICR 202409-1640-002 · OMB 1640-0001.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

SAFETY Act Block Designation
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DHS Form 10005 SAFTEY Act Block Designation 10005_SAFETY_Act_Block_Designation.pdf www.safetyact.gov Yes Yes Fillable Fileable
Form and Instruction DHS Form 10005 SAFETY ACT BLOCK DESIGNATION APPLICATION 10005_SAFETY_Act_Block_Designation.docx http://www.safetyact.gov Yes Yes Fillable Fileable Signable

Homeland Security Key Asset and Critical Infrastructure Protection

 

10 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10 0 0 -10 20 0
Annual IC Time Burden (Hours) 200 0 0 0 200 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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