Technical Assistance (TA) Request Form for State/Territory/Local Agencies - 9043

Technical Assistance Request and Evaluation (TARE)

OMB: 1670-0023

IC ID: 197205

Information Collection (IC) Details

View Information Collection (IC)

Technical Assistance (TA) Request Form for State/Territory/Local Agencies - 9043
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DHS-9043 OEC Technical Assistance (TA) and SCIP Workshop Rquest Form OEC Technical_Assistance_Request_DHS_Form_9043.pdf http://www.publicsafetytools.info/ta_request/start_ta_info_v1.php Yes Yes Fillable Printable

Homeland Security Key Asset and Critical Infrastructure Protection

Department of Homeland Security Mailing and Other Lists System of Records  73 FR 228

56 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 56 0 56 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Privacy Act Statement DHS Form 9043_ PRA Statement.doc 04/08/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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