Information Collection

DHS Healthcare Foreign Sourcing

IC 194549 under ICR 201011-0694-003 · OMB 0694-0119.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0119 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Not Applicable DHS Healthcare Foreign Sourcing	Form and Instruction
Not Applicable Healthcare and Public Health (HPH) Sector HPH Manufacturers - 083010.pdf	Form and Instruction
DHS Request.pdf DHS Request Letter	IC Document
0694.0119.OMB_Justification.ForeignSourcing.092910.doc Justification	IC Document

IC Title:

DHS Healthcare Foreign Sourcing

Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	Not Applicable	Healthcare and Public Health (HPH) Sector	HPH Manufacturers - 083010.pdf		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: 700

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	9,100	9,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DHS Request Letter	DHS Request.pdf	09/14/2010
Justification	0694.0119.OMB_Justification.ForeignSourcing.092910.doc	09/29/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.