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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Support Anti-terrorism by Fostering Effective Technologies Act of 2002
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
6 CFR 25
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DHS FORM 10001 (10/06)
APPLICATION FOR TRANSFER OF SAFETY ACTDESIGNATION AND CERTIFICATION
DHS Form 10001.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS FORM 10002 (10/06)
NOTICE OF MODIFICATION OF QUALIFIED ANTI-TERRORISM TECHNOLOGY
DHS Form 10002.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS FORM 10003 (10/06)
NOTICE OF LICENSE OF QUALIFIED ANTI-TERRORISMTECHNOLOGY
DHS Form 10003.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS Form 10004 (10/06)
SAFETY ACT BLOCK CERTIFICATION APPLICATION
DHS Form 10004.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS Form 10005 (10/06)
SAFETY ACT BLOCK DESIGNATION APPLICATION
DHS Form 10005.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS Form 10006 (10/06)
Application for SAFETY Act Developmental Testing and EvaluationDesignation
DHS Form 10006.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS Form 10007 (10/06)
Application for SAFETY Certification
DHS Form 10007.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS Form 10008 (10/06)
Application for SAFETY Act Designation
DHS Form 10008.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable Signable
Form
DHS Form 10009 (10/06)
REQUEST FOR PRE-APPLICATION CONSULTATION
DHS Form 10009.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable
Form
DHS Form 10010 (10/06)
REGISTRATION AS A SELLER OF ANTI-TERRORISM TECHNOLOGY
DHS Form 10010.pdf
https://www.safetyact.gov/
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
0
0
-2,500
0
0
2,500
Annual IC Time Burden (Hours)
0
0
-121,400
0
0
121,400
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
New Safety Act Application Kit
Application+Kit+Version+2.pdf
10/30/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.