Request for an Extension

Chemical Facility Anti-Terrorism Standards

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0014 can be found here:

Documents and Forms

Document Name Document Type
Form DHS Form 9036 Request for an Extension Form and Instruction
Request for Extension Screenshots.pdf Other-screenshots
DHS Form 9036 Request for An Extension Request for Extention_1 Aug 2017.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Request for an Extension	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 Form 9036	Request for An Extension	Request for Extention_1 Aug 2017.docx		Yes	Yes	Fillable Fileable
Other-screenshots			Request for Extension Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: Mailing and Other Lists System	FR Citation: 73 FR 71659

Number of Respondents: 730	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	730	-1,145	1,875
Annual IC Time Burden (Hours)	58	-411	469
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.