Consent Form

Technology Clearinghouse National Online Electronic Assessment

OMB: 1640-0014

IC ID: 185975

Information Collection (IC) Details

View Information Collection (IC)

Consent Form DHS Form 10049 (5/08)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DHS Form 10049 (5/08) Consent Form Consent Form.pdf http://surveys.jsc.eku.edu/mrIWeb/mrIWeb.dll?I.Project=NOEACONSENTFORM Yes Yes Fillable Fileable Signable

Homeland Security Key Asset and Critical Infrastructure Protection

 

100 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 100 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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