Background Check to Identify Affected Individuals With Terrorist Ties

Chemical Facility Anti-Terrorism Standards (CFATS) Personnel Surety Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0029 can be found here:

Documents and Forms

Document Name Document Type
Background Check to Identify Affected Individuals With Terrorist Ties Form and Instruction
CFATS Personnel Surety 1670-0029_CFATS PSP_Instrument_Final.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Background Check to Identify Affected Individuals With Terrorist Ties	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	CFATS Personnel Surety	1670-0029_CFATS PSP_Instrument_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: DHS/NPPD-002 CFATS Personnel Surety Prorgram System of Records	FR Citation: 79 FR 28752

Number of Respondents: 203,305	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	203,305	130,698	-122,393	195,000
Annual IC Time Burden (Hours)	33,884	21,783	-101,499	113,600
Annual IC Cost Burden (Dollars)	5,158,226	5,158,226	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.