Critical Infrastructure Stakeholder Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Critical Infrastructure Stakeholder Feedback Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.