Information Collection

Federal Bureau of Investigaton Bioterrorism Preparedness Act Entity/Individual Information

IC 43776 under ICR 201401-1110-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1110-0039_FD-961_Instructions.docx www.fbi.gov/about-us/cjis/bioterrorism-security-risk-assessment-form	Instruction
FD-961 BIOTERRORISM PREPAREDNESS ACT; ENTITY/INDIVIDUAL INFORMA 1110-0039_FD-961 Form.pdf www.fbi.gov/about-us/cjis/bioterrorism-security-risk-assessment-form	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
Form	FD-961	BIOTERRORISM PREPAREDNESS ACT; ENTITY/INDIVIDUAL INFORMATION	1110-0039_FD-961 Form.pdf	www.fbi.gov/about-us/cjis/bioterrorism-security-risk-assessment-form	Yes	Yes	Fillable Printable
Instruction			1110-0039_FD-961_Instructions.docx	www.fbi.gov/about-us/cjis/bioterrorism-security-risk-assessment-form	Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,796

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,796	-209	4,005
Annual IC Time Burden (Hours)	2,847	-157	3,004
Annual IC Cost Burden (Dollars)	3,340	-184	3,524

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.