Security Incident

CISA Incident Reporting System

Screenshots

https://us-cert.cisa.gov/forms/report

OMB Control No.: 1670-0037; Expiration Date: 12/31/2021

 

CISA Incident Reporting System Instructions

 

Instructions, continued

 

Contact Information

 

Organization

 

Date/Time of Incident

 

Incident Description

 

Privacy Act Statement

 

Paperwork Reduction act Statement

• •CISA estimates that the total average burden per response associated with this collection is approximately 0.05 hours. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The control number for this collection is OMB 1670-0037, which expires 12/31/2021. Send comments regarding this burden estimate or collection to: DHS/CISA, Attention: PRA 1670-0037, Mailstop: 0635, 245 Murray Lane SW Bldg 410, Washington, DC 20528.