Information Collection

SAFECOM Nationwide Survey

IC 258892 under ICR 202107-1670-002 · OMB 1670-0048.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0048 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SAFECOM Nationwide Survey	Form
SNS Local Questions Attachment_1_sns_2023_local_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Form
SNS Federal Questions Attachment_4_sns_2023_federal_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Form
SNS Tribal Questions Attachment_2_sns_2023_tribal_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Form
SNS State_Territorial Questions Attachment_3_sns_2023_state_territorial_version_03172023.docx cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Form
23_0320_1670-0048_Generic Submission Form with DHS PRA comments_clean.docx SAFECOM Nationwide Survey	IC Document

IC Title:

SAFECOM Nationwide Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	N/A	SNS Local Questions	Attachment_1_sns_2023_local_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Yes	Yes	Fillable Fileable
Form	N/A	SNS Federal Questions	Attachment_4_sns_2023_federal_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Yes	Yes	Fillable Fileable
Form	N/A	SNS Tribal Questions	Attachment_2_sns_2023_tribal_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Yes	Yes	Fillable Fileable
Form	N/A	SNS State_Territorial Questions	Attachment_3_sns_2023_state_territorial_version_03172023.docx	https://cisaecd.gov1.qualtrics.com/jfe/form/SV_9SLCcO7oycNTpH0	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,398

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	6,398	6,398
Annual IC Time Burden (Hours)	3,199	3,199
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SAFECOM Nationwide Survey	23_0320_1670-0048_Generic Submission Form with DHS PRA comments_clean.docx	03/22/2023

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