OMB control number

Indian Health Service Information Security Ticketing and Incident Reporting

OMB 0917-0041 ยท HHS/IHS.

OMB 0917-0041

The Indian Health Service (IHS) uses secure information technology (IT) to improve health care quality, enhance access to specialty care, reduce medical errors, and modernize administrative functions consistent with the Department of Health and Human Services (HHS) enterprise initiatives. IHS is responsible for maintaining an information security program that provides protection for information collected or maintained by or on behalf of the Agency, and protection for information systems used or operated by the Agency or by another organization on behalf of the Agency. The form referred to below is used by IHS staff (including federal employees, Tribal employees, and contractors and other non-federal employees) to report IHS cybersecurity incidents. This form has three purposes: to notify the CSIRT of an incident, provide updates about an open incident, and indicate resolution of an existing incident.

The latest form for Indian Health Service Information Security Ticketing and Incident Reporting expires 2022-04-30 and is listed under ICR 201803-0917-001.

Latest Forms, Documents, and Supporting Material

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202203-0917-002 Extension without change of a currently approved collection 2022-04-28 Approved without change
201803-0917-001 New collection (Request for a new OMB Control Number) 2018-06-13 Approved with change