Information Collection

Community Resilience Panel Membership Application Form

IC 218368 under ICR 201602-0693-001 · OMB 0693-0077.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CRP Membership Application-2-25-16.pdf	Other-Member application
COMMERCE-DEPT-23.docx Commerce-Dept-23	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Member application			CRP Membership Application-2-25-16.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title: Commerce-Dept-23

FR Citation: 78 FR 42038

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Commerce-Dept-23	COMMERCE-DEPT-23.docx	06/01/2016

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