New Capability Gap Data Form

TechSolutions Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1640-0011 can be found here:

Documents and Forms

Document Name Document Type
Form DHS Form 10011 New Capability Gap Data Form Form and Instruction
DHS Form 10011 New Capability Gap Data Form DHS Form 10011 - New Capability Gap Data Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	New Capability Gap Data Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	DHS Form 10011	New Capability Gap Data Form	DHS Form 10011 - New Capability Gap Data Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Catastrophic Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	63	63
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.