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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.