Declaration of Reporting Status

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⚠️ Notice: This information collection may be referencing outdated material.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
Declaration of Reporting Status Form and Instruction
Declaration of Reporting Screenshots.pdf Other-screenshots
Declaration of Reporting Status Declaration of Reporting Status_1 Aug 2017.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Declaration of Reporting Status	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	N/a	Declaration of Reporting Status	Declaration of Reporting Status_1 Aug 2017.docx		Yes	Yes	Fillable Fileable
Other-screenshots			Declaration of Reporting 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: 480	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	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.