Infragard Knowledge/Skills/Abilities Profile Questionnaire

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Unnumbered InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire	Form and Instruction	New	Available
InfraG Questionnaire 83i Revised.wpd	Supplementary Document	Uploaded 2010-05-19	Available
Justification InfraG Questionnaire Revised.wpd	Supporting Statement A	Uploaded 2010-05-19	Available
Memorandum for InfraG Questionnaire.wpd	Supplementary Document	Uploaded 2010-01-12	Available
InfraGard 83I.pdf	Supplementary Document	Uploaded 2010-01-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191712	InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire	Form and Instruction	New

ICR Details

OMB Control No: 1110-0049	ICR Reference No: 201001-1110-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOJ/FBI	Agency Tracking No:
Title: Infragard Knowledge/Skills/Abilities Profile Questionnaire
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/30/2010
	Date Received in OIRA: 03/25/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2013	36 Months From Approved
Responses	5,500	0	0
Time Burden (Hours)	1,830	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection is authorized by 28 U.S.C. Sec. 533, which directs the Justice Department to detect and prosecute crimes against the United States. It collects knowledge/skills/abilities information from InfraGard members and prospective members, who are public and private-sector owners and operators of critical infrastructure, for the specific purpose of categorizing the respondents into groups based on their industry, expertise, knowledge and skills, and to ensure that members are given access only to InfraGard content relevant to their expertise.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 1084	01/08/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 8995	02/26/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire	Unnumbered, Unnumbered	InfraGard Membership Application ,   InfraGard Member Profile

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,500	0	0	5,500	0	0
Annual Time Burden (Hours)	1,830	0	0	1,830	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is no increase in burden due to this being a new collection.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/25/2010

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