Information Collection

Partner Information Form

IC 180438 under ICR 200705-0412-003 · OMB 0412-0577.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0412-0577 can be found here:

Documents and Forms

Document Name Document Type
Form Proposed form Numb Partner Information Form Form and Instruction
Proposed form Numb Partner Information Form OMB - Supporting Statement - Justification A - Partner Information Form - Form.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Partner Information Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	Proposed form Number 500-XX	Partner Information Form	OMB - Supporting Statement - Justification A - Partner Information Form - Form.doc		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: Partner Vetting System (PVS)	FR Citation: 72 FR 39042

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
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.