CVI Instrument Scope (07.28.09)

CVI Authorization Instrument

Name of Instrument

Chemical-terrorism Vulnerability Information Authorization

Scope of Instrument

The agreement to several affirmation statements and an application to become a CVI authorized user. The application collects basic personally identifiable information.

Example of DHS Form used within the scope of this instrument

Attached is DHS Form 9012 that is used to standardize the collection of information within this instrument. DHS Form 9012 identifies most, but not all of the data routinely collected under this instrument. Current version of DHS Form 9012 may be found at www.dhs.gov/chemicalsecurity.

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