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OMB: 1601-0006
IC ID: 186177
OMB.report
DHS/OS
OMB 1601-0006
ICR 201107-1601-001
IC 186177
( )
Documents and Forms
Document Name
Document Type
Form DHS Form 9500
Filter Holder Log
Form
DHS Form 9500 Filter Holder Log
DHS Form 9500.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Filter Holder Log
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DHS Form 9500
Filter Holder Log
DHS Form 9500.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
522
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
190,008
0
0
0
0
190,008
Annual IC Time Burden (Hours)
3,173
0
0
0
0
3,173
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
