DHS Civil Rights Evaluation Tool

DHS Civil Rights Evaluation Tool

OMB: 1601-0024

IC ID: 224608

Documents and Forms
Document Name
Document Type
Other-Screenshots of portal
Other-Screenshots of portal
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

DHS Civil Rights Evaluation Tool
 
No Modified
 
Mandatory
 
6 CFR Parts 17, 19, 21 44 CFR Parts 7, 19  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screenshots of portal 1601—0024 DHS Civil Rights Evaluation Tool.pptx http://dhs.gov/resources-recipients-dhs-financial-assistance Yes Yes Fillable Fileable
Form and Instruction DHS Form 3095 Civil Rights Evaluation Tool DHS Form 3095 Civil Rights Evaluation Tool 508 Accessible with UEI.pdf Yes Yes Fillable Fileable

Homeland Security Key Asset and Critical Infrastructure Protection

 

5,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 3,350 0 1,388 0 0 1,962
Annual IC Time Burden (Hours) 10,050 0 4,164 0 0 5,886
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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