Information Collection

Security Self-assessment template

IC 217443 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⚠️ Notice: This information collection may be referencing outdated material.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

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 and attestation GA Security_Self-Assessment_Template w OMB control information 2018 60D.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 and attestation	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: 14	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	14	-4	18
Annual IC Time Burden (Hours)	4,424	-1,264	5,688
Annual IC Cost Burden (Dollars)	0	0	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.