Information Collection

InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire

IC 191712 under ICR 201001-1110-001 · OMB 1110-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0049 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Unnumbered InfraGard Membership Application InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire	Form and Instruction
Form Unnumbered InfraGard Member Profile InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire	Form and Instruction
Unnumbered InfraGard Membership Application unified_application0104.pdf infragard.org	Form and Instruction
Unnumbered InfraGard Member Profile InfraGard Member Profile.pdf	Form and Instruction

IC Title:

InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire

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
Form and Instruction	Unnumbered			http://infragard.org	Yes	Yes	Fillable Fileable
Form and Instruction	Unnumbered			infragard.org	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,500	5,500
Annual IC Time Burden (Hours)	1,830	1,830
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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