Form 10029 (12/07) 10029 (12/07) PREDICT Account Request Form

Protected Repository for the Defense of Infrastructure Against Cyber Threats (PREDICT)

10029_PREDICT_PRA_AccntReq_081610

Account Request Form

OMB: 1640-0012

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1640-0012 can be found here:

2012-08-08 - Revision of a currently approved collection

Document [pdf]

Download: pdf | pdf

OMB No. 1640-0012
Expires: 08/31/2010
DHS PREDICT Account Request Page
1. Department Name: Department of Homeland Security
2. Component/Agency Name: Science and Technology Directorate
3. OMB Control Number: 1640-0012
4. Expiration Date: 08/31/2010
5. Agency Form Number: DHS Form 10029
6. Name of Form: Account Request Page
7. Purpose of Form: This is the form potential users fill out in order to request an account on PREDICT.
8. How to submit: Hit the submit button on the web page

File Type	application/pdf
File Modified	2010-08-09
File Created	2010-08-09