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View Information Collection (IC)

CFATS Personnel Surety Background Check Form
No New
6 CFR 27

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 11000-29 Background Check to Identify Terrorist Ties for an Affected Individual at a High Risk Chemical Facility CFATS Personnel Surety Background Check Form (04 20 11) v1.pdf Yes Yes Fillable Fileable

Homeland Security Key Asset and Critical Infrastructure Protection

DHS/NPPD-002 CFATS Personnel Surety Prorgram System of Records  76 FR 34732

1,303,700 0
Individuals or Households
   100 %

  Requested 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 1,303,700 0 1,303,700 0 0 0
Annual IC Time Burden (Hours) 703,998 0 703,998 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CFATS PS Instrument Scope CFATS PS Instrument Scope (04-20-11) - CLEAN.doc 05/03/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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