Information Collection

Community Resilience/Shielding Framework Survey

IC 191617 under ICR 200912-0704-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Community Resilience Survey 1 Sep 09.doc	Other-Survey
STATEMENT OF DETERMINATION.doc Statement of Determination	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-Survey			Community Resilience Survey 1 Sep 09.doc		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,100	5,100
Annual IC Time Burden (Hours)	1,700	1,700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Statement of Determination	STATEMENT OF DETERMINATION.doc	12/18/2009

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