Information Collection

State Domestic Preparedness Program

IC 20874 under ICR 200609-1651-001 · OMB 1651-0101.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey Letter.doc www.dhssurvey.org.	Instruction
9003 (1/07) National Preparedness Task Force Survey of State and Loc Survey Formatted - 92006.doc www.dhssurvey.org	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Survey Letter.doc	http://www.dhssurvey.org.	Yes	Yes	Fillable Fileable
Form	9003 (1/07)	National Preparedness Task Force Survey of State and Local Government Emergency Officials	Survey Formatted - 92006.doc	www.dhssurvey.org	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,059

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,059	2,059
Annual IC Time Burden (Hours)	679	679
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.