Chemical-terrorism Vulnerability Information (CVI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DHS Form 9025 Tracking Log for Chemical-terrorism Vulnerability Information (CVI)	Form and Instruction	New	Available
Form DHS Form 9024 NOTIFICATION OF CHEMICAL-TERRORISM VULNERABILTY (CVI) ACCESS OR DISCLOSURE TO A NON-CVI AUTHORIZED USER DURING AN EMERGENCY OR EXIGENT CIRCUMSTANCE	Form and Instruction	New	Available
Form DHS Form 9027 REPORT OF POTENTIAL RELEASE OF CHEMICAL-TERRORISM VULNERABILITY INFORMATION (CVI)	Form and Instruction	New	Available
Form DHS Form 9026 DETERMINATION OF A PUBLIC OFFICIAL'S NEED TO KNOW SPECIFIC CVI	Form and Instruction	New	Available
Form DHS Form 9028 REQUEST FOR DETERMINATION OF CHEMICAL-TERRORISM VULNERABILITY INFORMATION (CVI)	Form and Instruction	New	Available
Form DHS Form 9012 Chemical-terrorism Vulnerability Information Training & Authorized User Application	Form and Instruction	New	Available
Request for Determination of CVI Instrument Scope (10.22.09).doc	Supplementary Document	Uploaded 2010-01-13	Repair queued
Report of Potential Release of CVI Instrument Scope (10.22.09).doc	Supplementary Document	Uploaded 2010-01-13	Available
Determination of a Public Officials Need To Know Instrument Scope (10.26.09).doc	Supplementary Document	Uploaded 2010-01-13	Available
Notification of Exigent Circumstance Instrument Scope (10.22.09).doc	Supplementary Document	Uploaded 2010-01-13	Available
CVI Log Instrument 10.07.09.doc	Supplementary Document	Uploaded 2010-01-13	Repair queued
CVI Instrument Scope (07.28.09).doc	Supplementary Document	Uploaded 2010-01-13	Available
CVI 30-Day Notice 09.25.09 DHS-2009-0034.pdf	Supplementary Document	Uploaded 2010-01-13	Available
60-Day Notice 07.01.09 DHS-2009-0034.pdf	Supplementary Document	Uploaded 2010-01-13	Available
PL107-296[1].pdf	Supplementary Document	Uploaded 2010-01-13	Available
CVI Supporting Statement A (03.17.10)v1 DHS-2009-0034 - CLEAN.doc	Supporting Statement A	Uploaded 2010-03-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191768	Chemical-terrorism Vulnerability Information Tracking Log	Form and Instruction	New	Tracking Log for Chemical-terrorism Vulnerability Information (CVI)
191767	Notification of CVI Access Exigent Circumstances	Form and Instruction	New	NOTIFICATION OF CHEMICAL-TERRORISM VULNERABILTY (CVI) ACCESS OR DISCLOSURE TO A NON-CVI AUTHORIZED USER DURING AN EMERGENCY OR EXIGENT CIRCUMSTANCE
191766	Report of Potential Release of CVI	Form and Instruction	New	REPORT OF POTENTIAL RELEASE OF CHEMICAL-TERRORISM VULNERABILITY INFORMATION (CVI)
191765	Determination of a Public Official’s Need to Know	Form and Instruction	New	DETERMINATION OF A PUBLIC OFFICIAL'S NEED TO KNOW SPECIFIC CVI
191764	Request for Determination of CVI	Form and Instruction	New	REQUEST FOR DETERMINATION OF CHEMICAL-TERRORISM VULNERABILITY INFORMATION (CVI)
191763	Chemical-terrorism Vulnerability Information (CVI) Authority	Form and Instruction	New	Chemical-terrorism Vulnerability Information Training & Authorized User Application

ICR Details

OMB Control No: 1670-0015	ICR Reference No: 201001-1670-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/CISA	Agency Tracking No: 0013
Title: Chemical-terrorism Vulnerability Information (CVI)
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 without change	Conclusion Date: 03/19/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/19/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved
Responses	321,323	0	0
Time Burden (Hours)	35,387	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In order to comply with the regulations set forth in 6 CFR § 27.400, information must be collected from chemical facility owners and operators. In the Chemical Facility Anti-Terrorism Standards all owners and operators will enable to have the ability to safeguard their Chemical-terrorism Vulnerability Information (CVI) and by law receives protection from public disclosure and misuse.

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Authorizing Statute(s): PL: Pub.L. 109 - 295 550 Name of Law: Department of Homeland Security Appropriations Act of 2007
  

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:
	74 FR 31460	07/01/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 48995	09/25/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Chemical-terrorism Vulnerability Information (CVI) Authority	DHS Form 9012	Chemical-terrorism Vulnerability Information Training & Authorized User Application
Chemical-terrorism Vulnerability Information Tracking Log	DHS Form 9025	Tracking Log for Chemical-terrorism Vulnerability Information (CVI)
Determination of a Public Official’s Need to Know	DHS Form 9026	DETERMINATION OF A PUBLIC OFFICIAL'S NEED TO KNOW SPECIFIC CVI
Notification of CVI Access Exigent Circumstances	DHS Form 9024	NOTIFICATION OF CHEMICAL-TERRORISM VULNERABILTY (CVI) ACCESS OR DISCLOSURE TO A NON-CVI AUTHORIZED USER DURING AN EMERGENCY OR EXIGENT CIRCUMSTANCE
Report of Potential Release of CVI	DHS Form 9027	REPORT OF POTENTIAL RELEASE OF CHEMICAL-TERRORISM VULNERABILITY INFORMATION (CVI)
Request for Determination of CVI	DHS Form 9028	REQUEST FOR DETERMINATION OF CHEMICAL-TERRORISM VULNERABILITY INFORMATION (CVI)

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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	321,323	0	0	321,323	0	0
Annual Time Burden (Hours)	35,387	0	0	35,387	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: This is a new collection.

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Annual Cost to Federal Government: $731,800

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]? Uncollected

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: 01/19/2010

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