Incident Reporting Form

CISA Reporting Forms

OMB: 1670-0037

IC ID: 228877

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Incident Reporting Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Incident Reporting Form Incident Reporting Form.docx https://us-cert.cisa.gov/forms/report Yes Yes Fillable Fileable

Homeland Security Key Asset and Critical Infrastructure Protection

 

26,000 0
   
Individuals or Households
 
   100 %

  Requested 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 26,000 0 4,000 0 0 22,000
Annual IC Time Burden (Hours) 8,667 0 7,567 0 0 1,100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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