Notification of CVI Access Exigent Circumstances

Chemical-terrorism Vulnerability Information (CVI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0015 can be found here:

Documents and Forms

Document Name Document Type
Form DHS Form 9024 Notification of CVI Access Exigent Circumstances Form and Instruction
DHS Form 9024 NOTIFICATION OF CHEMICAL-TERRORISM VULNERABILTY (CVI) AC Notificiation of CVI Access or Disclosure Emergency or Exigent Circumstances 12.17.09.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Notification of CVI Access Exigent Circumstances	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DHS Form 9024	NOTIFICATION OF CHEMICAL-TERRORISM VULNERABILTY (CVI) ACCESS OR DISCLOSURE TO A NON-CVI AUTHORIZED USER DURING AN EMERGENCY OR EXIGENT CIRCUMSTANCE	Notificiation of CVI Access or Disclosure Emergency or Exigent Circumstances 12.17.09.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.