Base Ensemble Extended Wear Testing

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1601-0014 can be found here:

Documents and Forms

Document Name Document Type
Base Ensemble Extended Wear Testing Form
Base Ensemble Extended Wear Testing RTech Extended Wear Testing Survey_312018.docx Form
Generic_Clearance_Submission_Base Ensemble_Final.doc Generic Submission Form IC Document
PIA_DHS-ALL-PIA-006.pdf PIA IC Document
SORN_DHS-S&T-001.pdf SORN IC Document

Information Collection (IC) Details

IC Title:	Base Ensemble Extended Wear Testing	Agency IC Tracking Number:

IC Status: New

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	n/a	Base Ensemble Extended Wear Testing	RTech Extended Wear Testing Survey_312018.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Catastrophic Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 111	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	111	111
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Submission Form	Generic_Clearance_Submission_Base Ensemble_Final.doc	02/06/2018
PIA	PIA_DHS-ALL-PIA-006.pdf	02/06/2018
SORN	SORN_DHS-S&T-001.pdf	02/06/2018

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