Collection of Information through CISA Reporting Forms

Forms and Documents

Document Name	Status
CISA Incident Reporting Form Form and Instruction	New
2025-01165.pdf Supplementary Document	2025-01-17
PIA-CISA-NCPS_026.pdf Supplementary Document	2025-01-16
1670-NEW-CISA Reporting Forms IRF_2_30-day FRN_SSA_v1_20250113-1_Final.docx Supporting Statement A	2025-01-17
SORN-DHS-ALL-006.pdf Supplementary Document	2025-01-13
SORN - DHS-ALL-002.pdf Supplementary Document	2025-01-13
USCODE-2014-title44-chap35-subchapII-sec3554.pdf Supplementary Document	2025-01-13
USCODE-2023-title44-chap35-subchapII-sec3553.pdf Supplementary Document	2025-01-13
USCODE-2020-title6-chap1-subchapXVIII-partA-sec659.pdf Supplementary Document	2025-01-13
USCODE-2020-title44-chap35-subchapII-sec3552.pdf Supplementary Document	2025-01-13
USCODE-2020-title44-chap35-subchapII-sec3556.pdf Supplementary Document	2025-01-13
1670-NEW-CISA Reporting Forms IRF_4_30-day FRN_PTA_v1.pdf Supplementary Document	2025-01-13
2024-23070.pdf Supplementary Document	2025-01-08

IC Document Collections

IC ID	Document Title	Status
273618	CISA Incident Reporting Form Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202501-1670-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DHS/CISA	Agency Tracking No: PRA-CSD-00002318
Title: Collection of Information through CISA Reporting Forms
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/17/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	45,500	0
Time Burden (Hours)	198,250	0
Cost Burden (Dollars)	0	0

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Abstract: CISA is responsible for performing, coordinating, and supporting response to information security incidents, which may originate outside the Federal community and affect users within it, or originate within the Federal community and affect users outside of it. Often, therefore, the effective handling of security incidents relies on information sharing among individual users, industry, and the Federal Government, which may be facilitated by and through CISA. This information collection collects cybersecurity incident reports related to federal agency information systems, mandatory reports on behalf of certain federal regulatory agencies, mandatory reports due to contractual requirements, and voluntary reports from members of the public. This ICR, which is authorized by the Federal Information Security Modernization Act of 2014 (FISMA) and the Homeland Security Act, is distinct from incident reporting under the This collection is intended to replace the current incident reporting form, prior to the effective date of the CIRCIA Final Rule, with a revised question set that will enrich the value and analytical capabilities on the data collected under these other incident reporting and information sharing authorities.

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Authorizing Statute(s): US Code: 6 USC 659 Name of Law: National cybersecurity and communications integration center
   US Code: 44 USC 3552 Name of Law: FISMA - Definitions
   US Code: 44 USC 3556 Name of Law: Federal information security incident center
   US Code: 44 USC 3554 Name of Law: Federal agency responsibilities
   US Code: 44 USC 3553 Name of Law: Authority and functions of the Director and the Secretary
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 81097	10/07/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 5933	01/17/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
CISA Incident Reporting Form	N/A	N/A

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	45,500	0	0	45,500	0	0
Annual Time Burden (Hours)	198,250	0	0	198,250	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $4,351,162

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/17/2025

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