Information Collection

CISA Out-Processing Information Form

IC 244402 under ICR 202310-0704-001 · OMB 0704-0598.

Documents and Forms

Document Name Document Type
CISA_End_of_Year_Information_Form_AY_23_Oct 2023.docx Other-Form
CISA_End_of_Year_Information_Form_AY_23_Oct 2023.docx Other-Form
CISA_ReminderEmail.pdf Reminder Email IC Document
CISA_ReminderEmail.pdf Reminder Email IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CISA Out-Processing Information 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
Other-Form			CISA_End_of_Year_Information_Form_AY_23_Oct 2023.docx		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: 125	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	125	85	40
Annual IC Time Burden (Hours)	21	14	7
Annual IC Cost Burden (Dollars)	1,146	779	367

Documents for IC

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.