Information Collection

Local American Citizen Skills/Resources Survey

IC 189494 under ICR 201512-1405-004 · OMB 1405-0188.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0188 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-5506 Local American Citizen Skills/Resources Survey	Form and Instruction
DS-5506 LOCAL UNITED STATES CITIZEN SKILLS/RESOURCES SURVEY Revised DS-5506 (Draft version).pdf www.state.gov/m/a/dir/forms/c21447.htm	Form and Instruction

IC Title:

Local American Citizen Skills/Resources Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 22 CFR 71.1 22 CFR 71.6

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	DS-5506	LOCAL UNITED STATES CITIZEN SKILLS/RESOURCES SURVEY	Revised DS-5506 (Draft version).pdf	http://www.state.gov/m/a/dir/forms/c21447.htm	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,400	0	2,400
Annual IC Time Burden (Hours)	600	0	600
Annual IC Cost Burden (Dollars)	7,860	7,860	0

Documents for IC

table that charts IC Documents
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.