Information Collection

Base Ensemble Extended Wear Testing

IC 229977 under ICR 201410-1601-003 · OMB 1601-0014.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Base Ensemble Extended Wear Testing

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.