Community Resilience Panel Membership Application Form

Community Resilience Panel

Documents and Forms

Document Name Document Type
CRP Membership Application-2-25-16.pdf Other-Member application
COMMERCE-DEPT-23.docx Commerce-Dept-23 IC Document

Information Collection (IC) Details

IC Title:	Community Resilience Panel Membership Application Form	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
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 %

	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

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.