Information Collection

CISA Speaker Request Form

IC 247259 under ICR 202507-1670-004 · OMB 1670-0047.

Documents and Forms

Document Name Document Type
Form n//a CISA Speaker Request Form Form and Instruction
Form n//a CISA Speaker Request Form CISA Speaker Request Form Form and Instruction
n//a CISA Speaker Request Form 1670-0047 - CISA Speaker Request Form.pdf Form and Instruction
n//a CISA Speaker Request Form 1670-0047 - CISA Speaker Request Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CISA Speaker Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	CISA Speaker Request Form	1670-0047 - CISA Speaker Request Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,300	1,300
Annual IC Time Burden (Hours)	325	325
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.

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