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SAFECOM Nationwide Survey
SAFECOM Nationwide Surveys Generic Clearance
OMB: 1670-0048
IC ID: 258892
OMB.report
DHS/CISA
OMB 1670-0048
ICR 202107-1670-002
IC 258892
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SAFECOM Nationwide Survey
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection 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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
6,398
0
6,398
0
0
0
Annual IC Time Burden (Hours)
3,199
0
3,199
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.