OMB control number
COVID-19 Tracing Reporting Form
OMB 1670-0044 ยท DHS/CISA.
OMB 1670-0044
The COVID-19 Contact Tracing Reporting Form is a voluntary form that CISA will advertise through our Regional Offices and during our frequent engagements with our stakeholders. This collection is designed to allow affected parties to voluntarily submit relevant evidence about their contact tracing program. The information will allow the agency to develop best practices and guidance on how to employ digital contact tracing tools while mitigating security risks.
The latest form for COVID-19 Tracing Reporting Form expires 2021-04-30 and is listed under ICR 202010-1670-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DHS Form XXX (10/2 COVID-19 CONTACT TRACING REPORTING FORM | Form and Instruction |
| 1670-NEW_COVID-19 Contact Tracing Reporting Form_2_ACTNMEM-v2.pdf | Supplementary Document |
| SORN-002 DHS Mailing and Other Lists.pdf | Supplementary Document |
| PIA-069 DHS Surveys, Interviews, and Focus Groups.pdf | Supplementary Document |
| PLAW-115publ278.pdf | Supplementary Document |
 1670-NEW_COVID-19 Contact Tracing Reporting Form_1_SSA_v2.docx | Supporting Statement A |
 COVID-19 CONTACT TRACING REPORTING FORM |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202010-1670-001 | New collection (Request for a new OMB Control Number) | 2020-10-28 | Approved without change |