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Defense Industrial Base Cyber Security/Information Assurance (DIB CS/IA) Cyber Incident Reporting
Defense Industrial Base Cyber Security/Information Assurance (DIB CS/IA) Cyber Incident Reporting
OMB: 0704-0489
IC ID: 200868
OMB.report
DOD/DODDEP
OMB 0704-0489
ICR 201309-0704-001
IC 200868
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0489 can be found here:
2022-10-27 - Extension without change of a currently approved collection
2019-09-30 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,250
0
0
-2,500
3,750
0
Annual IC Time Burden (Hours)
8,750
0
0
-17,500
26,250
0
Annual IC Cost Burden (Dollars)
306,250
0
0
-1,637,825
1,944,075
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.