Information Collection

Register

IC 181784 under ICR 201007-1640-001 · OMB 1640-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DHS Form 10015 (04 Register	Form and Instruction
DHS Form 10015 (04 Register DHS Form 10015 - Regsister.pdf techsolutions.dhs.gov/Pages/Register.aspx	Form and Instruction

IC Title:

Agency IC Tracking Number:

10015

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	DHS Form 10015 (04/07)	Register	DHS Form 10015 - Regsister.pdf	https://techsolutions.dhs.gov/Pages/Register.aspx	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Catastrophic Defense

Privacy Act System of Records

Title: DHS/ALL-004

FR Citation: 74 FR 49882

Number of Respondents: 333

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	333	-37,167	37,500
Annual IC Time Burden (Hours)	28	-3,097	3,125
Annual IC Cost Burden (Dollars)	0	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.