Critical Infrastructure Workers Denied Movement Reporting_Form

Critical Infrastructure Workers Denied Movement Reporting Form

Documents and Forms

Document Name Document Type
3. 1670-NEW_Critical Infrastructure Workers Denied Movement Reporting_Form_v1.pdf Other-Screenshot

Information Collection (IC) Details

IC Title:	Critical Infrastructure Workers Denied Movement Reporting_Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshot			3. 1670-NEW_Critical Infrastructure Workers Denied Movement Reporting_Form_v1.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	100	100
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.