Information Collection

Critical Infrastructure Stakeholder Feedback Survey

IC 213517 under ICR 201201-1601-001 · OMB 1601-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1601-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DHS Critical Infrastructure Stakeholder Feedback Survey	Form and Instruction
DHS Critical Infrastructure Stakeholder Feedback SOPD_Activity_Evaluation_Form_20140312 final.pdf	Form and Instruction
SOPD_Survey_Clearance_Request_20140410 v2.1 EMN.DOCX Critical Infrastructure Stakeholder Submission Form	IC Document

IC Title:

Critical Infrastructure Stakeholder Feedback Survey

Agency IC Tracking Number:

IC Status: New

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	Critical Infrastructure Stakeholder Feedback	SOPD_Activity_Evaluation_Form_20140312 final.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: 2,880

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,880	2,880
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Critical Infrastructure Stakeholder Submission Form	SOPD_Survey_Clearance_Request_20140410 v2.1 EMN.DOCX	10/16/2014

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