OMB control number
CISA Speaker Request Form
OMB 1670-0047 · DHS/CISA.
The Speaker Request Form will be the first point of contact between CISA and the public to initiate CISA speaking engagements. The form will be available on www.cisa.gov and any member of the public can submit a request for a CISA employee to speak at an event. The form will be used by CISA to track and manage external speaking engagements. The information will be used to schedule and determine the most appropriate CISA speaker based on date, time, location, presentation format, and topic. The form collects information about the event, discussion topics, presentation format, media participation, disclosures, special event guest, and event coordinator information. Information from the Speaker Request Form regarding the requested speaking engagement, the host organization, the speaking topic, agenda and additional event details will be collected. The requested information helps CISA determine whether the speaker should attend the engagement and/or how CISA should best prepare for the event. The information is used to determine if the event warrants the time and attention of the invited speaker and what messages and information can be shared on behalf of the Agency with a public or targeted audience. The CISA Speakers Bureau team will use the information to identify a speaker and route the Speakers Request Form to that person for consideration. The information is then sent to DHS Public Affairs for awareness of CISA speaking engagements.
The latest form for CISA Speaker Request Form expires 2028-09-30 and can be found here.
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Supporting Statement A |
| Extension without change of a currently approved collection | 2025-08-01 | ||
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Approved without change |
New collection (Request for a new OMB Control Number) | 2021-06-09 |