Notification of CVI Access or Disclosure Emergency or Exigent Circumstances Instrument Scope

Notification of Emergency or Exigent Circumstances Instrument Scope (10.22.09).doc

Chemical-terrorism Vulnerability Information (CVI)

Notification of CVI Access or Disclosure Emergency or Exigent Circumstances Instrument Scope

OMB: 1670-0015

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Notification of Emergency or Exigent Circumstances Instrument

Name of Instrument

Notification of Emergency or Exigent Circumstances

Scope of Instrument

This instrument collects:


  • Personally identifiable information from the individual reporting the exigent circumstance

  • Relevant facility information

  • Relevant details about the emergency or exigent circumstance

Example of DHS Forms used within the scope of this instrument

Attached is DHS Form 9024 that is used to standardize the collection of information within this instrument. DHS Form 9024 identifies most, but not all of the data routinely collected under this instrument.

1

File Typeapplication/msword
File TitleSupporting Statement
AuthorUSCG
Last Modified Byelizabeth.white
File Modified2013-02-27
File Created2013-02-27

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