Information Collection

Summary of Test Report

IC 201802 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form DHS FORM 10056 Summary of Test Report	Form and Instruction
DHS FORM 10056 Summary Test Report P25CABSTR_REQSeptember2009v2.pdf www.safecomprogram.gov/SiteCollectionDocuments/P25CABSTR_REQSeptember2009v2.pdf	Form and Instruction
P25CABSTR_REQSeptember2009v2.pdf DHS Form 10056	IC Document

IC Title:

Summary of Test Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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 and Instruction	DHS FORM 10056	Summary Test Report	P25CABSTR_REQSeptember2009v2.pdf	http://www.safecomprogram.gov/SiteCollectionDocuments/P25CABSTR_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: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-72	72
Annual IC Time Burden (Hours)	-144	144
Annual IC Cost Burden (Dollars)	-9,360	9,360

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DHS Form 10056	P25CABSTR_REQSeptember2009v2.pdf	04/03/2012

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