Volunteer Participant Release of Liability Agreement

Office of Bombing Prevention Training and Conference Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0031 can be found here:

Documents and Forms

Document Name Document Type
Volunteer Participant Release of Liability Agreement Form and Instruction
Volunteer Participant Release of Liability Agreement CISA Form XXX_Volunteer Participant Release of Liability Agreement.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Volunteer Participant Release of Liability Agreement	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	n/a	Volunteer Participant Release of Liability Agreement	CISA Form XXX_Volunteer Participant Release of Liability Agreement.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: DHS/ALL-002 - Department of Homeland Security (DHS) Mailing and Other Lists	FR Citation: 73 FR 71659

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	750	0	750
Annual IC Time Burden (Hours)	75	-75	150
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.