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Request for Determination of CVI
Chemical-terrorism Vulnerability Information (CVI)
OMB: 1670-0015
IC ID: 191764
OMB.report
DHS/CISA
OMB 1670-0015
ICR 201704-1670-002
IC 191764
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0015 can be found here:
2020-12-16 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DHS Form 9028
Request for Determination of CVI
Form and Instruction
DHS Form 9028 Request for Determination of Chemical-Terrorism Vulnerab
Request for Determination of CVI 2.25.13.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Determination of CVI
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DHS Form 9028
Request for Determination of Chemical-Terrorism Vulnerability Information (CVI)
Request for Determination of CVI 2.25.13.pdf
Yes
Yes
Fillable Printable
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:
300
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
0
0
-300
0
0
300
Annual IC Time Burden (Hours)
0
0
-75
0
0
75
Annual IC Cost Burden (Dollars)
0
0
0
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.