Information Collection

ISCD Feedback Questionnaire

IC 223372 under ICR 201608-1670-001 · OMB 1670-0027.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0027 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ISCD Feedback Questionnaire	Form
ISCD Feedback Questionnaire 12.30.15 ISCD Feedback Questionnaire 12.30.15.pdf	Form
ISCD Feedback Questionnaire 12.30.15 Survey Monkey Scree ISCD Feedback Questionnaire 12.30.15 Survey Monkey Screen Shots.docx	Form
Gen IC Mini Supporting Statement ISCD Questionnaire.pdf Gen IC Mini Supporting Statement ISCD Questionnaire	IC Document

IC Title:

ISCD Feedback Questionnaire

Agency IC Tracking Number:

IC Status: New

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	NA	ISCD Feedback Questionnaire 12.30.15	ISCD Feedback Questionnaire 12.30.15.pdf		No		Paper Only
Form	NA	ISCD Feedback Questionnaire 12.30.15 Survey Monkey Screen Shots	ISCD Feedback Questionnaire 12.30.15 Survey Monkey Screen Shots.docx		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: 34,293

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	34,293	34,293
Annual IC Time Burden (Hours)	2,858	2,858
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Gen IC Mini Supporting Statement ISCD Questionnaire	Gen IC Mini Supporting Statement ISCD Questionnaire.pdf	09/02/2016

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