Information Collection

CISA Incident Reporting Form

IC 273618 under ICR 202501-1670-001 · OMB unassigned.

Documents and Forms

Document Name Document Type
CISA Incident Reporting Form Form and Instruction
CISA Incident Reporting Form Complete Question Set for PRA Submission.pdf Form and Instruction
CISA Incident Reporting Form Complete Question Set for PRA Submission.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CISA Incident Reporting Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	N/A	N/A	CISA Incident Reporting Form Complete Question Set for PRA Submission.pdf		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: 26,000	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 Agency Discretion
Annual Number of Responses for this IC	45,500	45,500
Annual IC Time Burden (Hours)	198,250	198,250
Annual IC Cost Burden (Dollars)	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.