Malware Analysis Submission Form

CISA Reporting Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0037 can be found here:

Documents and Forms

Document Name Document Type
Malware Analysis Submission Form Form and Instruction
Malware Analysis Submission Form Malware Analysis.docx www.malware.us-cert.gov/ Form and Instruction

Information Collection (IC) Details

IC Title:	Malware Analysis Submission Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	N/A	Malware Analysis Submission Form	Malware Analysis.docx	https://www.malware.us-cert.gov/	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,725	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,725	2,725
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	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.