View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	MPHISE Assessment 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
Other-Mock Up - Survey Monkey			MPHISE_Survey_v7.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 195	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	195	0	0	0	0	195
Annual IC Time Burden (Hours)	39	0	0	0	0	39
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
MPHISE Submission Form	MPHISE Feedback Generic Clearance Submission .docx	06/12/2020
DHS/ALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System	DHSALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System.log	06/12/2020
DHS Surveys, Interviews, and Focus Groups DHSALLPIA-069	DHS Surveys, Interviews, and Focus Groups DHSALLPIA-069 .pdf	06/12/2020

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