Information Collection

Security Self-assessment template

IC 217442 under ICR 201810-1845-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Security Self-assessment template	Form and Instruction
Attestation Statement for FSA IT Security Self Assessment w OMB control number 60D.pdf	Other-Attestation Statement for FSA
Security Self-assessment template GA Security_Self-Assessment_Template w OMB control information 2018 60D.xlsx	Form and Instruction

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:

table that charts list of 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 w OMB control information 2018 60D.xlsx		Yes	Yes	Fillable Fileable
Other-Attestation Statement for FSA IT Security Self-Assessment			Attestation Statement for FSA IT Security Self Assessment w OMB control number 60D.pdf		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 %

table that charts list of burden
	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

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.