The Small Business Innovative Research (SBIR) and Small Business Technology Transfer (STTR) Forms

Forms and Documents

Document Name	Status
Form DHS Form 10024 Email Mailing List Removal Form	New
Form DHS Form 10023 Cost Proposal Form	New
Form DHS Form 10022 Company Registration Form	New
Form DHS Form 10021 Collaboration Opportunity Form	New
Form DHS Form 10020 Submit a Question Form	New
Form DHS Form 10018 Research Topic Recommendation Form	New
Form DHS Form 10017 Proposal Coversheet Form	New
Form DHS Form 10016 Email Mailing List Signup Form	New
SBIR Supporting Statement v1.5.doc Supporting Statement A	2007-12-28
15 U.S.C. 638.htm Supplementary Document	2007-11-12
PTA ST BAA SBIR Contact List 20071030 PRIV Final.pdf Supplementary Document	2007-11-12
privacy_pia_dhs_lists.pdf Supplementary Document	2007-11-12
FR - SBIR 30 Day Notice.pdf Supplementary Document	2007-11-08
FR - SBIR 60 Day Notice.pdf Supplementary Document	2007-11-08

IC Document Collections

IC ID	Document Title	Status
182292	Email Mailing List Removal Form	New
182290	Cost Proposal Form	New
182289	Company Registration Form	New
182288	Collaboration Opportunity Form	New
182287	Submit a Question Form	New
182284	Research Topic Recommendation Form	New
182283	Proposal Coversheet Form	New
182282	Email Mailing List Signup Form	New

ICR Details

OMB Control No: 1640-0009	ICR Reference No: 200710-1640-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/S&T	Agency Tracking No:
Title: The Small Business Innovative Research (SBIR) and Small Business Technology Transfer (STTR) Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/25/2008
	Date Received in OIRA: 01/03/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	36 Months From Approved
Responses	2,080	0	0
Time Burden (Hours)	860	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected is used by the DHS SBIR/STTR Program Office to 1. Identify members of the public who qualify for, and are interested in participating in, the DHS SBIR/STTR Program 2. Facilitate SBIR/STTR outreach to the public 3. Provide the DHS SBIR/STTR Program Office necessary and sufficient information to determine that proposals submitted by the public to the DHS SBIR/STTR Program meet criteria for consideration under the program Information is typically collected via the DHS SBIR/STTR secure website, but the public has the option of providing the information via hardcopy forms that can be either mailed or faxed to the DHS SBIR/STTR Program Office.

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Authorizing Statute(s): US Code: 15 USC 638 Name of Law: AID TO SMALL BUSINESS/Research and Development
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 33241	06/15/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 51234	09/07/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Email Mailing List Removal	DHS Form 10024	Email Mailing List Removal
Email Mailing List Signup	DHS Form 10016	E-mail List sign-up
Collaboration Opportunity	DHS Form 10021	Collaboration Opportunity
Research Topic Recommendation	DHS Form 10018	Research Topic Recommendation
Company Registration	DHS Form 10022	Company Registration
Cost Proposal	DHS Form 10023	Cost Proposal
Submit a Question	DHS Form 10020	Submit a Question
Proposal Coversheet	DHS Form 10017	Proposal Coversheet

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,080	0	0	2,080	0	0
Annual Time Burden (Hours)	860	0	0	860	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This constitutes as a new data collection as part of the SBIR/STTR program effort. There are a total of eight new forms in support of this data collection.

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Annual Cost to Federal Government: $850,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/03/2008

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