Information Collection

Secure Software Development Attestation Form

IC 266806 under ICR 202404-1902-002CF · OMB 1670-0052.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0052 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Secure Software Sefl-Attestation Common Form Self-Attestation Common Form_FINAL_030824.docx	Form and Instruction

IC Title:

Secure Software Development Attestation Form

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

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	Secure Software Sefl-Attestation Common Form	Self-Attestation Common Form_FINAL_030824.docx		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: 350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	350	350
Annual IC Time Burden (Hours)	848	848
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.