InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire

Infragard Knowledge/Skills/Abilities Profile Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1110-0049 can be found here:

Documents and Forms

Document Name Document Type
Form UnNumbered InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire Form and Instruction
xxxx InfraGard Member Profile InfraGard Member Profile.pdf infragard.org Form and Instruction
UnNumbered InfraGard Membership Application 1110-0049_InfraGard Membership Application.pdf infragard.org Form and Instruction

Information Collection (IC) Details

IC Title:	InfraGard Member Knowledge/Skills/Abilities Profile Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	UnNumbered	InfraGard Membership Application	1110-0049_InfraGard Membership Application.pdf	http://infragard.org	Yes	Yes	Fillable Fileable
Form and Instruction	xxxx	InfraGard Member Profile	InfraGard Member Profile.pdf	infragard.org	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,200	1,700	0	5,500
Annual IC Time Burden (Hours)	3,600	850	920	1,830
Annual IC Cost Burden (Dollars)	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.