Information Collection

Defense Industrial Base Cyber Security/Information Assurance (DIB CS/IA) Cyber Incident Reporting

IC 200868 under ICR 201309-0704-001 · OMB 0704-0489.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0489 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Defense Industrial Base Cyber Security/Information Assurance (DIB CS/IA) Cyber Incident Reporting	Form
ICF_Detailed_Form_Instructions.docx	Instruction
OMB_ICF_instructions.docx	Instruction
DIB CS/IA Incident Collection Form Word version of ICF.docx	Form

IC Title:

Defense Industrial Base Cyber Security/Information Assurance (DIB CS/IA) Cyber Incident Reporting

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 32 CFR 236

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	DIB CS/IA Incident Collection Form	Word version of ICF.docx	Yes	Yes	Fillable Fileable
Instruction			ICF_Detailed_Form_Instructions.docx	Yes	Yes	Fillable Fileable
Instruction			OMB_ICF_instructions.docx	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: Defense Industrial Base (DIB) Cyber Security/Information Assurance Records

FR Citation: 77 FR 29616

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,250	-2,500	3,750
Annual IC Time Burden (Hours)	8,750	-17,500	26,250
Annual IC Cost Burden (Dollars)	306,250	-1,637,825	1,944,075

Documents for IC

table that charts IC Documents
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.