Information Collection

NICCS Certification Course Form

IC 209463 under ICR 201608-1670-002 · OMB 1670-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DHS Form 9053 NICCS Certification Course Form	Form and Instruction
DHS Form 9053 NICCS Certification Course Form DHS Form 9053 - Certification Course Form.pdf	Form and Instruction

IC Title:

NICCS Certification Course Form

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
Form and Instruction	DHS Form 9053	NICCS Certification Course Form	DHS Form 9053 - Certification Course Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: Department of Homeland Security Mailing and

FR Citation: 73 FR 71659

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	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.