Niger Crisis Form

Crisis Assistance Request Form - Niger (Dept. of State)

Documents and Forms

Document Name Document Type
CACMS Public Pages Screenshot 1-27-2-23.docx Other-Public Page
CACMS Public Pages Screenshot 1-27-2-23.docx Other-Public Page

Information Collection (IC) Details

IC Title:	Niger Crisis Form	Agency IC Tracking Number:

Is this a Common Form? No		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-Public Page			CACMS Public Pages Screenshot 1-27-2-23.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Niger Crisis Form	FR Citation: 88 FR 12109

Number of Respondents: 765	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	765	765
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	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.