Form 9010 CFATS Help Desk Form 9010 final 06152016

CFATS Help Desk
Form

OMB No. 1670-0007
Expiration Date: April 30, 2016

1. Privacy Act Statement
Authority: 5 U.S. C. § 301 and 44 U.S.C. § 3101 authorize the collection of this information.
Purpose: DHS will use this information to confirm your user role and respond to your questions.
Routine Use: This information may be disclosed as generally permitted under 5 U.S.C. §552a(b)
of the Privacy Act of 1974, as amended. This includes using the information, as necessary and
authorized by the routine uses published in DHS/ALL-002 - Department of Homeland Security
(DHS) Mailing and Other Lists System of Records (November 25, 2008, 73 FR 71659).
Disclosure: Furnishing this information is voluntary; however failure to provide any of the
information requested may prevent the Chemical Facility Anti-Terrorism Standards (CFATS)
Help Desk from providing assistance or answering your questions.

2. Paperwork Reduction Act Statement
In accordance with the Paperwork Reduction Act, no one is required to respond to a collection of
information unless it displays a valid Office of Management and Budget (OMB) Control
Number. The valid OMB Control Number for this information collection is 1670-0007. The time
required to complete this information collection is estimated to average .17 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.

DHS Form 9010

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