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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.