Information Collection

Suppliers Declaration Of Compliance

IC 187393 under ICR 201204-1640-001 · OMB 1640-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1640-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DHS FORM 10044 Supplier's Declaration of Compliance SUPPLIERS DECLARATION OF COMPLIANCE	Form and Instruction
DHS FORM 10044 Supplier's Declaration of Compliance P25CABSDOC_REQSeptember2009v2.pdf www.safecomprogram.gov/SiteCollectionDocuments/P25CABSDOC_REQSeptember2009v2.pdf	Form and Instruction

IC Title:

SUPPLIERÂS DECLARATION OF COMPLIANCE

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 10044			http://www.safecomprogram.gov/SiteCollectionDocuments/P25CABSDOC_REQSeptember2009v2.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: 6

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
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	72	-428	500
Annual IC Time Burden (Hours)	144	-356	500
Annual IC Cost Burden (Dollars)	9,360	9,360	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.

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