View Information Collection (IC)

View Information Collection (IC)

IC Title:	Protected Critical Infrastructure Information (PCII) Officer Self-Assessment Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 6 CFR 6 CFR 29.4(d) PCII Program

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			8531 - PCII Officer Self-Assessment Questionnaire_v5_07-06-2012 (v5 lg clean).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: DHS All-004 - General Informatoin Technology Access Account Records System (GITAARS)	FR Citation: 74 FR 187

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	80	0	80	0	0	0
Annual IC Time Burden (Hours)	80	0	80	0	0	0
Annual IC Cost Burden (Dollars)	3,811	0	3,811	0	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.