Information Collection

Adjudication or Appeal of an Order Assessing Civil Penalty

IC 196475 under ICR 201010-1670-002 · OMB 1670-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Adjudication or Appeal of an Order Assessing Civil Penalty Instrument (FINAL 03-01-2011).doc	Other-null

IC Title:

Agency IC Tracking Number:

001

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Other-null			Adjudication or Appeal of an Order Assessing Civil Penalty Instrument (FINAL 03-01-2011).doc		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	0	0
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.