Information Collection

CISA Out-Processing Information Form

IC 244402 under ICR 202011-0704-003 · OMB 0704-0598.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0598 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CISA Out-Processing Information Form_8.27.2020.pdf	Other-Web Form
CISA_ReminderEmail.pdf Reminder Email	IC Document

IC Title:

CISA Out-Processing Information Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-Web Form			CISA Out-Processing Information Form_8.27.2020.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	367	367

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Reminder Email	CISA_ReminderEmail.pdf	11/04/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.