Information Collection

Suppliers Declaration Of Compliance

IC 187393 under ICR 201509-1640-001 · OMB 1640-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1640-0015 can be found here:

Documents and Forms

Document Name Document Type
Form DHS FORM 10044 SUPPLIERS DECLARATION OF COMPLIANCE Form and Instruction
DHS FORM 10044 Supplier's Declaration of Compliance P25CABSDOC_REQ September2009v2 9-25-2015.rtf www.safecomprogram.gov/SiteCollectionDocuments/P25CABSDOC_REQSeptember2009v2.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SUPPLIERÂS DECLARATION OF COMPLIANCE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	DHS FORM 10044	Supplier's Declaration of Compliance	P25CABSDOC_REQ September2009v2 9-25-2015.rtf	http://www.safecomprogram.gov/SiteCollectionDocuments/P25CABSDOC_REQSeptember2009v2.pdf	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	144	72	72
Annual IC Time Burden (Hours)	576	432	144
Annual IC Cost Burden (Dollars)	0	-9,360	9,360

Documents for IC

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.