Security Firm Survey

OMB Control Number: 0412-0576

Expiration Date: 05/31/2008

Security Firm Survey

1. Name of recipient/sub-award:      
1a. Total number of personnel working under the award (including recipient and sub-awards):      	1b. Total number of U.S. and third country nationals employed (including recipient and sub-awards):      
1c. Total number of private security recipient and sub-award personnel:      	1d. Total number of private security recipient and sub-award personnel carrying weapons:      
2. Assistance award number:      
3. Summary of the scope of each private security award and sub-award:      
4a. Number of security incidents with weapons fired:      
4b. To whom and how are security incidents reported?      
5. Does the private security awardee have a host government license, if needed? Yes No (If No, please provide a brief explanation)      
6. Total estimated cost of each private security award and sub-award:      
7. When private security services are being provided under a sub-contract, indicate the “type” of sub-contract (fixed-price, cost-plus, etc.):      
Public Burden Statement Public reporting burden for this collection of information is estimated to average three hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information, and to respond to any follow-up questions deemed necessary. The Agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Acquisition and Assistance, Washington, D.C. 20523-7900.