DHS SAFETY Act Applicant Survey

Agency Information Collection Activities: Generic Clearance for Formative Data Collections for Evaluations, Research, and Evidence Building

Documents and Forms

Document Name Document Type
Attachment A2 SAFETY Act Contract Staff Collection Materials.docx Other-Markup
Attachment A1 SAFETY Act Applicant Collection Materials.docx Other-Markup
GC ICR Request DHS 1601-0037_S&T SAFETY ACT EVAL 09042024.docx SAFETY Act Process Evaluation Surveys IC Document

Information Collection (IC) Details

IC Title:	DHS SAFETY Act Applicant 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
Other-Markup			Attachment A2 SAFETY Act Contract Staff Collection Materials.docx		Yes	Yes	Fillable Fileable Signable
Other-Markup			Attachment A1 SAFETY Act Applicant Collection Materials.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SAFETY Act Process Evaluation Surveys	GC ICR Request DHS 1601-0037_S&T SAFETY ACT EVAL 09042024.docx	10/09/2024

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