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CISA Free Services and Tools Intake Form
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1670-0027
IC ID: 261139
OMB.report
DHS/CISA
OMB 1670-0027
ICR 202402-1670-002
IC 261139
( )
Documents and Forms
Document Name
Document Type
CISA Free Services and Tools Intake Form
Form and Instruction
CISA Free Services and Tools Intake Form
CISA Free Services and Tools Intake Form.pdf
Form and Instruction
CISA Free Services and Tools Intake Form
CISA Free Services and Tools Intake Form.pdf
Form and Instruction
Generic Clearance Submission for Free Cybersecurity Services and Tools Intake Form_20230728.docx
Generic Clearance Submission for Free Cybersecurity Services and Tools Intake Form
IC Document
Generic Clearance Submission for Free Cybersecurity Services and Tools Intake Form_20230728.docx
Generic Clearance Submission for Free Cybersecurity Services and Tools Intake Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CISA Free Services and Tools Intake Form
Agency IC Tracking Number:
PRA-CSD-00001708
IC Status:
Unchanged
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
CISA Free Services and Tools Intake Form
CISA Free Services and Tools Intake Form.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Key Asset and Critical Infrastructure Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
20
0
0
0
0
20
Annual IC Time Burden (Hours)
2
0
0
0
0
2
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Clearance Submission for Free Cybersecurity Services and Tools Intake Form
Generic Clearance Submission for Free Cybersecurity Services and Tools Intake Form_20230728.docx
07/28/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.