Form DHS Form 10053 (5/ DHS Form 10053 (5/ Structured Assessment Case: Free Form Query

Technology Clearinghouse National Online Electronic Assessment

Structured Assessment Case Free Form Query

Structured Assessment Case Free Form Query

OMB: 1640-0014

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National Online Electronic Assessment: Structured Assessment Case: Free Form Query 

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Department Name: Department of Homeland Security 
 
Component /Agency name: Science and Technology Directorate 
 
OMB Control Number: 1640‐New 
 
Expiration Date: TBD 
 
Agency Form Number: DHS FORM 10053 (05/08) 
 
Name of Form: Structured Assessment Case: Free Form Query 
 
Purpose of Form:  Provide an assessment of the Tech Clearinghouse based on the 
participant’s experience performing a query of his or her choice. 
 
How to Submit: Electronically 

 

 

 
 

  
 

 

 

  
 

 

 

 
 

  
 

 

 
 

 
 
 
 

  
 


File Typeapplication/pdf
File TitleMicrosoft Word - NOEA Data Collection Tools 20080801
AuthorSimpkinsB
File Modified2008-08-01
File Created2008-08-01

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