CyberFETCH Registration Form

Department of Homeland Security

Science and Technology Directorate

Paperwork Reduction Act (PRA)

Collection Instrument Coversheet

Version: 2.0

Last Modified: January 12, 2010

THE ATTACHED MATERIALS CONTAIN DEPARTMENT OF HOMELAND SECURITY INFORMATION THAT IS "FOR OFFICIAL USE ONLY", OR OTHER TYPES OF SENSITIVE BUT UNCLASSIFIED INFORMATION REQUIRING PROTECTION AGAINST UNAUTHORIZED DISCLOSURE. THE ATTACHED MATERIALS MUST BE HANDLED AND SAFEGUARDED IN ACCORDANCE WITH DHS MANAGEMENT DIRECTIVES GOVERNING PROTECTION AND DISSEMINATION OF SUCH INFORMATION.

AT A MINIMUM, THE ATTACHED MATERIALS WILL BE DISSEMINATED ONLY ON A "NEED-TO-KNOW" BASIS AND WHEN UNATTENDED, MUST BE STORED IN A LOCKED CONTAINER OR AREA OFFERING SUFFICIENT PROTECTION AGAINST THEFT, COMPROMISE, INADVERTENT ACCESS, AND UNAUTHORIZED DISCLOSURE.

Revision History

Date	Version	Description	Author
	1.0	Initial Delivery
January 12, 2010	2.0	Added coversheet	Jeffery Harris

1. Department Name: Department of Homeland Security

2. Component/Agency Name: Science and Technology Directorate

3. OMB Control Number: 1640-New

4. Expiration Date: TBD (three years from approval date)

5. Agency Form Number: DHS FORM #####

6. Name of Form: Cyber Forensics Electronic Technology Clearinghouse (CyberFETCH) Registration Form

7. Purpose of Form: To collect the necessary information required to create a user account and password needed to gain access to the CyberFETCH website.

8. How to submit: Submit online at http://www.cyberfetch.org/?q=user/register