Information Collection

Form USM-649, Vulnerability Assessment Request

IC 245689 under ICR 202102-1105-001 · OMB 1105-0110.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0110 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USM-649 Form USM-649, Vulnerability Assessment Request	Form
USM-649 Vulnerability Assessment Request usm649.pdf	Form
USM-649 Vulnerability Assessment Request usm649.pdf	Form

IC Title:

Form USM-649, Vulnerability Assessment Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	USM-649	Vulnerability Assessment Request	usm649.pdf	TBD	Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	52	52
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.