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Indian Health Service Information Security Ticketing and Incident Reporting
Indian Health Service Information Security Ticketing and Incident Reporting
OMB: 0917-0041
IC ID: 231681
OMB.report
HHS/IHS
OMB 0917-0041
ICR 202203-0917-002
IC 231681
( )
Documents and Forms
Document Name
Document Type
ISTS CSIRT Form .pdf
Other-web system
ISTS CSIRT Form .pdf
Other-web system
ISTS Privacy Form .pdf
Other-web form
ISTS Privacy Form .pdf
Other-web form
0917-F07-02b Incident response form
F07-02b_IRF_Final.pdf
Form and Instruction
0917-F07-02b Incident response form
F07-02b_IRF_Final.pdf
Form and Instruction
OMB ICR Supporting Statement A for Submission_IT Security.docx
Indian Health Service Information Security Ticketing and Incident Reporting Part A
IC Document
OMB ICR Supporting Statement A for Submission_IT Security.docx
Indian Health Service Information Security Ticketing and Incident Reporting Part A
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Indian Health Service Information Security Ticketing and Incident Reporting
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-web system
ISTS CSIRT Form .pdf
Yes
Yes
Fillable Fileable
Other-web form
ISTS Privacy Form .pdf
Yes
Yes
Fillable Fileable
Form and Instruction
0917-F07-02b
Incident response form
F07-02b_IRF_Final.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,700
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,700
0
0
0
0
1,700
Annual IC Time Burden (Hours)
425
0
0
0
0
425
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Indian Health Service Information Security Ticketing and Incident Reporting Part A
OMB ICR Supporting Statement A for Submission_IT Security.docx
06/07/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.