OMB control number

CISA Speaker Request Form

OMB 1670-0047 ยท DHS/CISA.

OMB 1670-0047

The Speaker Request Form will be the first point of contact between CISA and the public to initiate CISA speaking engagements. The form will be available on www.cisa.gov and any member of the public can submit a request for a CISA employee to speak at an event. The form will be used by CISA to track and manage external speaking engagements. The information will be used to schedule and determine the most appropriate CISA speaker based on date, time, location, presentation format, and topic. The form collects information about the event, discussion topics, presentation format, media participation, disclosures, special event guest, and event coordinator information. Information from the Speaker Request Form regarding the requested speaking engagement, the host organization, the speaking topic, agenda and additional event details will be collected. The requested information helps CISA determine whether the speaker should attend the engagement and/or how CISA should best prepare for the event. The information is used to determine if the event warrants the time and attention of the invited speaker and what messages and information can be shared on behalf of the Agency with a public or targeted audience. The CISA Speakers Bureau team will use the information to identify a speaker and route the Speakers Request Form to that person for consideration. The information is then sent to DHS Public Affairs for awareness of CISA speaking engagements.

The latest form for CISA Speaker Request Form expires 2028-09-30 and is listed under ICR 202507-1670-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form n//a CISA Speaker Request FormForm and Instruction
Form n//a CISA Speaker Request FormForm and Instruction
2025-15861.pdfSupplementary Document
2025-14231.pdf Supplementary Document
2025-09688.pdfSupplementary Document
2025-09688.pdf Supplementary Document
PLAW-114-185 Section 552 - FOIA Improvement Act, 2016.pdfSupplementary Document
PLAW-114-185 Section 552 - FOIA Improvement Act, 2016.pdf Supplementary Document
PLAW-107-296 - Homeland Security Act, 2002.pdfSupplementary Document
PLAW-107-296 - Homeland Security Act, 2002.pdf Supplementary Document
PLAW-104-13 - Paperwork Reduction Act, 1995.pdfSupplementary Document
PLAW-104-13 - Paperwork Reduction Act, 1995.pdf Supplementary Document
PLAW 115-278 - Cybersecurity and Infrastructure Security Agency Act, 2018.pdfSupplementary Document
PLAW 115-278 - Cybersecurity and Infrastructure Security Agency Act, 2018.pdf Supplementary Document
PIA_DHS-ALL-006 - DHS General Contact Lists.pdfSupplementary Document
PIA_DHS-ALL-006 - DHS General Contact Lists.pdf Supplementary Document
PIA_DHS-ALL-028 - Department Freedom of Information Act and Privacy Act Records Program.pdfSupplementary Document
PIA_DHS-ALL-028 - Department Freedom of Information Act and Privacy Act Records Program.pdf Supplementary Document
SORN_DHS-ALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System.pdfSupplementary Document
SORN_DHS-ALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System.pdf Supplementary Document
Supporting Statement A_SpeakersBureau_2025.docxSupporting Statement A
Supporting Statement A_SpeakersBureau_2025.docxSupporting Statement A
CISA Speaker Request Form Form and Instruction
CISA Speaker Request Form Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202507-1670-004 Extension without change of a currently approved collection 2025-08-01
202105-1670-002 New collection (Request for a new OMB Control Number) 2021-06-09 Approved without change