Compliance Assistance

Chemical Facility Anti-Terrorism Standards

Documents and Forms

Document Name Document Type
Form DHS Form 9034 Compliance Assistance Form and Instruction
Compliance Assistance Screenshots.pdf Other-screenshots
DHS Form 9034 Compliance Assistance 1670-0014_CFATS_Compliance Assistance Visit INSTRUMENT (05-FEB-2021).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Compliance Assistance	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 9034	Compliance Assistance	1670-0014_CFATS_Compliance Assistance Visit INSTRUMENT (05-FEB-2021).docx		Yes	Yes	Fillable Fileable
Other-screenshots			Compliance Assistance Screenshots.pdf		Yes	Yes	Fillable Fileable

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: 1,600	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,600	917	683
Annual IC Time Burden (Hours)	133	78	55
Annual IC Cost Burden (Dollars)	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.