Information Collection

Subscriber STR Template

IC 236828 under ICR 201907-1640-001 · OMB 1640-0015.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0 Subscriber STR Template	Form and Instruction
0 Summary Test Report (STR) Subscriber STR Template 20180501.xlsx	Form and Instruction

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0	Summary Test Report (STR)	Subscriber STR Template 20180501.xlsx		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Catastrophic Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	12	12
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.