Information Collection

Proposal Coversheet

IC 182283 under ICR 200710-1640-001 · OMB 1640-0009.

Documents and Forms

Document Name Document Type
Form DHS Form 10017 Proposal Coversheet Form
DHS Form 10017 Proposal Coversheet DHS FORM 10017 - Proposal Coversheet Screen Shot.pdf demo.sainc.com/hsarpasbir/registered/CoverCreate.asp Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Proposal Coversheet	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	DHS Form 10017	Proposal Coversheet	DHS FORM 10017 - Proposal Coversheet Screen Shot.pdf	http://demo.sainc.com/hsarpasbir/registered/CoverCreate.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: 460	Number of Respondents for Small Entity: 460

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	460	460
Annual IC Time Burden (Hours)	230	230
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.