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Chemical-terrorism Vulnerability Information (CVI) Authorization
Chemical-terrorism Vulnerability Information (CVI)
OMB: 1670-0015
IC ID: 191763
OMB.report
DHS/CISA
OMB 1670-0015
ICR 202012-1670-001
IC 191763
( )
Documents and Forms
Document Name
Document Type
Form DHS Form 9012
Chemical-terrorism Vulnerability Information (CVI) Authorization
Form and Instruction
DHS Form 9012 Chemical-terrorism Vulnerability information Training &
06_CVI Authorization Application 26-FEB-2020 (CLEAN).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Chemical-terrorism Vulnerability Information (CVI) Authorization
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
DHS Form 9012
Chemical-terrorism Vulnerability information Training & Authorized User Application
06_CVI Authorization Application 26-FEB-2020 (CLEAN).docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Key Asset and Critical Infrastructure Protection
Privacy Act System of Records
Title:
Mailing and Other Lists System
FR Citation:
73 FR 71659
Number of Respondents:
20,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20,000
0
0
0
0
20,000
Annual IC Time Burden (Hours)
10,000
0
0
0
0
10,000
Annual IC Cost Burden (Dollars)
0
0
0
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.