Application for a Pre-Application Consultation

Support Anti-terrorism by Fostering Effective Technologies Act of 2002

Documents and Forms

Document Name Document Type
Form DHS Form 10009 Application for a Pre-Application Consultation Form and Instruction
DHS Form 10009 Request for a Pre-Application Consultation 10009_Application_for_a_Pre-Application_Consultation _2_.pdf Form and Instruction
DHS Form 10009 Request for a Pre-Application Consultation 10009_Application_for_a_Pre-Application_Consultation _2_.pdf Form and Instruction
DHS Form 10009 REQUEST FOR A PRE-APPLICATION CONSULTATION 10009_Application_for_a_Pre-Application_Consultation _2_.docx Form
DHS Form 10009 REQUEST FOR A PRE-APPLICATION CONSULTATION 10009_Application_for_a_Pre-Application_Consultation _2_.docx Form

Information Collection (IC) Details

IC Title:	Application for a Pre-Application Consultation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 10009	Request for a Pre-Application Consultation	10009_Application_for_a_Pre-Application_Consultation _2_.pdf		Yes	Yes	Fillable Printable
Form	DHS Form 10009	REQUEST FOR A PRE-APPLICATION CONSULTATION	10009_Application_for_a_Pre-Application_Consultation _2_.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 110	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	110	-15	125
Annual IC Time Burden (Hours)	220	-30	250
Annual IC Cost Burden (Dollars)	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.