CISA Stakeholder Survey

Department of Homeland Security OMB Control Number: 1670-0027

Cybersecurity and Infrastructure Security Agency OMB Expiration Date: 01/31/2021

Cybersecurity and Infrastructure Security Agency (CISA) Stakeholder Feedback Survey

PRA Burden Statement: The public reporting burden to complete this information collection is estimated at 3 minute per response, including the time completing and reviewing the collected information. The collection of this information is voluntary. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number and expiration date. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to DHS/CISA. Mail Stop 0608, 245 Murray Lane SW, Arlington, VA 20598. ATTN: PRA [1670-0027].

Product/Resource/Event Title: <enter Product/Resource/Event title>

Date: <enter date>

1. Please select the category that best describes your organization:

• Federal government

• State government

• Local government

• Tribal government

• Territorial government

• Private sector or industry

• Research or academia

• Non-governmental organization

• Other _____________________

2. Please evaluate the following statement: The information received through this <enter product/resource/event> was current and relevant.

   • Strongly Disagree = 1; Disagree = 2; Neutral = 3; Agree = 4; Strongly Agree = 5

3. Please provide any recommendations that you may have on how future <enter product/resource/event> could be improved to enhance their relevance. (Please do not include any information about your organization or any personally identifiable information about yourself or others in your response.)

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4. Please evaluate the following statement: The information received through this <enter product/resource/event> will effectively inform my decision making regarding <safety and/or security> risk mitigation and resilience enhancements.

   • Strongly Disagree = 1; Disagree = 2; Neutral = 3; Agree = 4; Strongly Agree = 5

5. Please provide any recommendations that you may have on how future <enter product/resource/event> could be improved to increase their value in support of your mission.

(Please do not include any information about your organization or any personally identifiable information about yourself or others in your response.)

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6. Please evaluate the following statement: I will encourage my organization to incorporate information I learned though this <enter product/resource/event/activity>.

   • Strongly Disagree = 1; Disagree = 2; Neutral = 3; Agree = 4; Strongly Agree = 5

7. Please provide any recommendations that you may have on how future <enter product/resource/event> could be improved so that they can be better incorporated into <safety, security, and/or resilience> practices across the <infrastructure or cyber security> community.

(Please do not include any information about your organization or any personally identifiable information about yourself or others in your response.)

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