Active Shooter Response Preparedness Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Active Shooter Response Preparedness Survey Form and Instruction
CISA Program Impact Evaluation Survey (Active Shooter).docx Form and Instruction
CISA Program Impact Evaluation Survey (Active Shooter).docx Form and Instruction
1670-0027 Generic Clearance Submission -- CISA Impact Evaluation Survey.docx CISA Impact Evaluation Survey IC Document
1670-0027 Generic Clearance Submission -- CISA Impact Evaluation Survey.docx CISA Impact Evaluation Survey IC Document

Information Collection (IC) Details

IC Title:	Active Shooter Response Preparedness Survey	Agency IC Tracking Number:

IC Status: Unchanged

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 and Instruction	N/A	N/A	CISA Program Impact Evaluation Survey (Active Shooter).docx		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: 10,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CISA Impact Evaluation Survey	1670-0027 Generic Clearance Submission -- CISA Impact Evaluation Survey.docx	07/07/2023

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