Declaration of Reporting Status

Declaration of Reporting Status Instrument

For inclusion within ICR 1670-0014

Cybersecurity and Infrastructure Security Agency

Paperwork Reduction Act Statement

In accordance with the Paperwork Reduction Act, no one is required to respond to a collection of information unless it displays a valid Office of Management and Budget (OMB) Control Number. The valid OMB Control Number for this information collection is 1670-0014. The time required to complete this information collection is estimated to average 0.25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Privacy Notice

Authority: The Protecting and Securing Chemical Facilities from Terrorist Attacks Act of 2014, Pub. L. No. 113-254 which is also codified at 6 U.S.C. § 621 et seq., as amended by Pub. L. No. 116-136, Sec. 16007 (2020) and the Chemical Facility Anti-Terrorism Standards (CFATS), 6 C.F.R. Part 27 authorize the collection of this information.

Purpose: The primary purpose of this collection is to obtain information regarding why a potential chemical facility of interest is not required to register in the CSAT system or to submit a Top-Screen to CISA.

Routine Uses: This information will be used by and disclosed to Department of Homeland Security (DHS) personnel, contractors, or other agents to process a facility’s declaration of their reporting status. This information may also be required in order to contact the facility, if necessary.

Disclosure: Providing this information is voluntary. If you choose not to provide this information, then CISA may require on-site verification by a chemical security Inspector.

Basic Reporting Fields

CISA may collect the following basic information:

• Name of the Submitter: (Last, First, MI)

• Phone Number of the Submitter

• Facility Name

• Facility's Address (Street, City, State, Zip)

• Date Submitted

Compliance Assistance

In this section, the instrument will collect the facility’s declaration and a reason supporting its declaration that it is not required to register in the CSAT system or to submit a Top-Screen to CISA:

• The facility does not possess a chemical of interest (COI) that meets or exceeds the screening threshold quantity (STQ) described in Appendix A to CFATS;

• The facility is regulated under the Maritime Transportation Security Act of 2002. See 6 U.S.C. § 621(4)(A). **Note: If only a portion of the facility is exempt, the facility must still file a Top-Screen for the portion of the facility that is not regulated;

• The facility constitutes a wastewater or drinking water facility regulated under authorities administered by the U.S. Environmental Protection Agency. See 6 U.S.C. §§ 621(4)(B) and (C);

• The facility is owned or operated by the Department of Defense or the Department of Energy See 6 U.S.C. § 621(4)(D);

• The facility is subject to regulation by the Nuclear Regulatory Commission (NRC), or by a State that has entered into an agreement with the NRC to protect against unauthorized access of any material, activity, or structure licensed by the NRC. See 6 U.S.C. § 621(4)(E);

• The facility is an agricultural production facility covered under the extension to the Top Screen requirements detailed in 73 Fed. Reg. 1640 (Jan. 9, 2008);

• The facility only possesses a COI present in a gasoline mixture. See 81 Fed. Reg. 47002;

• Other (The facility will provide a narrative).

3