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Citizen Corps Council Registration
Citizen Corps Council Registration
OMB: 1670-0004
IC ID: 21176
OMB.report
DHS/CISA
OMB 1670-0004
ICR 200701-1670-002
IC 21176
( )
Documents and Forms
Document Name
Document Type
Citizen Corps Council Registration
Form and Instruction
Council Registration Form
Council Registration Form 1660-0079.pdf
www.citizencorps.gov/citizenCorps/councilAddStart.do
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Citizen Corps Council Registration
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
N/A
Council Registration Form
Council Registration Form 1660-0079.pdf
https://www.citizencorps.gov/citizenCorps/councilAddStart.do
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
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 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
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
167
0
0
0
0
167
Annual IC Cost Burden (Dollars)
0
0
0
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.