Email Mailing List Signup

The Small Business Innovative Research (SBIR) and Small Business Technology Transfer (STTR) Forms

Documents and Forms

Document Name Document Type
Form DHS Form 10016 Email Mailing List Signup Form
DHS Form 10016 E-mail List sign-up DHS Form 1640-10016- Screen Shot.pdf demo.sainc.com/hsarpasbir/mailinglist/newmailinguser.asp Form

Information Collection (IC) Details

IC Title:	Email Mailing List Signup	Agency IC Tracking Number:	DHS Form 10016

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	DHS Form 10016	E-mail List sign-up	DHS Form 1640-10016- Screen Shot.pdf	http://demo.sainc.com/hsarpasbir/mailinglist/newmailinguser.asp	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 300

Affected Public: Private Sector	Private Sector: 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	300	300
Annual IC Time Burden (Hours)	50	50
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.