Background Check to Identify Affected Individuals With Terrorist Ties

Chemical Facility Anti-Terrorism Standards (CFATS) Personnel Surety Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0029 can be found here:

Documents and Forms

Document Name Document Type
Tab 8 - CFATS PS Instrument Scope (10-29-13).pdf Other-Scope
Tab 2 - Narrative of Changes Since Withdrawn ICR (11-14-13).pdf Narratives of Change Since Withdrawn ICR IC Document

Information Collection (IC) Details

IC Title:	Background Check to Identify Affected Individuals With Terrorist Ties	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 6 CFR 27 5 CFR 1320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Scope			Tab 8 - CFATS PS Instrument Scope (10-29-13).pdf		No		Printable Only

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: DHS/NPPD-002 CFATS Personnel Surety Prorgram System of Records	FR Citation: 76 FR 34732

Number of Respondents: 195,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	195,000	195,000
Annual IC Time Burden (Hours)	113,600	113,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Narratives of Change Since Withdrawn ICR	Tab 2 - Narrative of Changes Since Withdrawn ICR (11-14-13).pdf	01/28/2014

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