Information Collection

Security Self-assessment template

IC 217442 under ICR 201510-1845-013 · OMB 1845-0134.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0134 can be found here:

Documents and Forms

Document Name Document Type
Security Self-assessment template Form and Instruction
Security Self-assessment template GA Security_Self-Assessment_Template 7 10 2015.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Security Self-assessment template	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Security Self-assessment template	GA Security_Self-Assessment_Template 7 10 2015.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	3,160	3,160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.