Information Collection

CISA Free Services and Tools Intake Form

IC 261139 under ICR 202402-1670-002 · OMB 1670-0027.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

PRA-CSD-00001708

IC Status: Unchanged

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
Form and Instruction	N/A	CISA Free Services and Tools Intake Form	CISA Free Services and Tools IntakeÂ Form.pdf		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: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.