Information Collection

SAFECOM Survey

IC 227846 under ICR 201705-1670-002 · OMB 1670-0033.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SAFECOM Survey	Form and Instruction
SAFECOM Survey - Local government version SNS_Hard Copy_Local Version_Final_08032017.pdf	Form and Instruction
SAFECOM Survey - State government version SNS_Hard Copy_State Version_Final_08032017.pdf	Form and Instruction
SAFECOM Survey - Tribal government version SNS_Hard Copy_Tribal Version_Final_08032017.pdf	Form and Instruction

IC Title:

SAFECOM Survey

Agency IC Tracking Number:

Is this a Common Form? No

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	SAFECOM Survey - Local government version	SNS_Hard Copy_Local Version_Final_08032017.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	SAFECOM Survey - State government version	SNS_Hard Copy_State Version_Final_08032017.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	SAFECOM Survey - Tribal government version	SNS_Hard Copy_Tribal Version_Final_08032017.pdf	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: 3,002

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,002	3,002
Annual IC Time Burden (Hours)	1,501	1,501
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.