Information Collection

CI/KR Sector Clearance Program Request

IC 184325 under ICR 201106-1670-003 · OMB 1670-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0013 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DHS Form 9014 CI/KR Sector Clearance Program Request	Form and Instruction
DHS Form 9014 Critical Infrastructure Private Sector Clearance Program DHS Form 9014 Private Sector Clearance Request Form (05-11).pdf	Form and Instruction

IC Title:

CI/KR Sector Clearance Program Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 9014	Critical Infrastructure Private Sector Clearance Program Request	DHS Form 9014 Private Sector Clearance Request Form (05-11).pdf		No		Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title: DHS Office of Security

FR Citation: 71 FR 53697

Number of Respondents: 450

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
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	450	200	250
Annual IC Time Burden (Hours)	75	33	42
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.