DHS S&T Industry Outreach Information Form

Industry Outreach Form

Documents and Forms

Document Name Document Type
Form DHS-1640-0036 DHS S&T Industry Outreach Information Form Form and Instruction
DHS-1640-0036 DHS Industry Outreach Information Form DHS Industry Outreach Information Form.pdf Form and Instruction
83FedRegNotice 15865.pdf 83 Federal Registry Notice 15865 IC Document
82FedRegNotice 32567.pdf 82 Federal Registry Notice 32567 IC Document
Document_Metadata-DHS-2017-0036-DRAFT-0002-05_10_2018-12_44_PM.pdf 30 Day Comment 1 IC Document
Document_Metadata-DHS-2017-0036-DRAFT-0003-05_10_2018-12_45_PM.pdf 30 Day Comment 2 IC Document
Document_Metadata-DHS-2017-0036-DRAFT-0004-05_10_2018-12_48_PM.pdf 30 Day Comment 3 IC Document
USTR 2017-0014.pdf 60 Day Comment IC Document
PTA, S&T - Industry Outreach.pdf PTA DHS Industry Outreach IC Document
SORN_2013-00602.pdf System of Record Notice IC Document
Supporting Statement A_DHS_Industry Outreach_Form.docx Supporting Statement A IC Document
USCODE-2010-title6-chap1-subchapIII-sec193.pdf US Code 6 section 193 IC Document

Information Collection (IC) Details

IC Title:	DHS S&T Industry Outreach Information Form	Agency IC Tracking Number:	1640-NEW

Is this a Common Form? No		IC Status: New

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
Form and Instruction	DHS-1640-0036	DHS Industry Outreach Information Form	DHS Industry Outreach Information Form.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: •DHS/S&T-001 - Research, Development, Test, and Evaluation Records	FR Citation: 78 FR 3019

Number of Respondents: 312	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	312	312
Annual IC Time Burden (Hours)	234	234
Annual IC Cost Burden (Dollars)	28,105	28,105

Documents for IC

Title	Document	Date Uploaded
83 Federal Registry Notice 15865	83FedRegNotice 15865.pdf	05/18/2018
82 Federal Registry Notice 32567	82FedRegNotice 32567.pdf	05/18/2018
30 Day Comment 1	Document_Metadata-DHS-2017-0036-DRAFT-0002-05_10_2018-12_44_PM.pdf	05/18/2018
30 Day Comment 2	Document_Metadata-DHS-2017-0036-DRAFT-0003-05_10_2018-12_45_PM.pdf	05/18/2018
30 Day Comment 3	Document_Metadata-DHS-2017-0036-DRAFT-0004-05_10_2018-12_48_PM.pdf	05/18/2018
60 Day Comment	USTR 2017-0014.pdf	05/18/2018
PTA DHS Industry Outreach	PTA, S&T - Industry Outreach.pdf	05/18/2018
System of Record Notice	SORN_2013-00602.pdf	05/18/2018
Supporting Statement A	Supporting Statement A_DHS_Industry Outreach_Form.docx	05/18/2018
US Code 6 section 193	USCODE-2010-title6-chap1-subchapIII-sec193.pdf	05/18/2018

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