Information Collection

Memorandum of Agreement - PCC and Data Provider

IC 183223 under ICR 200801-1640-001 · OMB 1640-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1640-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10036 (12/07) Memorandum of Agreement - PCC and Data Provider	Form and Instruction
10036 (12/07) MOA PCC Data Provider PREDICT_MOA_PCC_Data_Providers[1].pdf	Form and Instruction

IC Title:

Memorandum of Agreement - PCC and Data Provider

Agency IC Tracking Number:

10036

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	10036 (12/07)	MOA PCC Data Provider	PREDICT_MOA_PCC_Data_Providers[1].pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	8	8
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.