Information Collection

Federal Bureau of Investigaton Bioterrorism Preparedness Act Entity/Individual Information

IC 43776 under ICR 201207-1110-001 · OMB 1110-0039.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0039 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FD-961 Federal Bureau of Investigaton Bioterrorism Preparedness Act Entity/Individual Information	Form
1110-0039_FD-961_Instructions2012.doc.docx	Instruction
FD-961 BIOTERRORISM PREPAREDNESS ACT; ENTITY/INDIVIDUAL INFORMA 1110-0039_FD-961.pdf.pdf	Form

IC Title:

Federal Bureau of Investigaton Bioterrorism Preparedness Act Entity/Individual Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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
Instruction			1110-0039_FD-961_Instructions2012.doc.docx	www.fbi.gov/about-us/cjis/bioterrorism-security-risk-assessment-form	Yes	No	Fillable Printable
Form	FD-961	BIOTERRORISM PREPAREDNESS ACT; ENTITY/INDIVIDUAL INFORMATION	1110-0039_FD-961.pdf.pdf	www.fbi.gov/about-us/cjis/bioterrorism-security-risk-assessment-form	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,005

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	4,005	-779	4,784
Annual IC Time Burden (Hours)	3,004	-584	3,588
Annual IC Cost Burden (Dollars)	3,524	-686	4,210

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.