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OMB Control No: 1670-0052	ICR Reference No: 202311-1670-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DHS/CISA	Agency Tracking No: PRA-CSD-00001389
Title: Secure Software Self-Attestation Common Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/08/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/16/2023
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved
Responses	72,513	0	0
Time Burden (Hours)	175,709	0	0
Cost Burden (Dollars)	0	0	0

Abstract: The attestation form information will be used by the department or agency to provide great assurances that help understand whether the software provider performed due diligence followed secure code practices which align with NIST 800-216 Secure Software Development Practices (SSDF). OMB circular M-22-18 requires CISA in consultation with OMB to develop a secure software attestation common form for all federal departments and agencies. Agencies will collect software attestation information from software suppliers.

Authorizing Statute(s): EO: EO 14028 Name/Subject of EO: Improving the Nation’s Cybersecurity

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 25670	04/27/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 78759	11/16/2023
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Secure Software Development Attestation Form	N/A	Secure Software Sefl-Attestation Common Form

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	72,513	72,513
Annual Time Burden (Hours)	175,709	175,709
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Initial Submission Request for IC

Annual Cost to Federal Government: $12,399,660

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Benjamin Thomsen 202 254-7179 benjamin.thomsen@cisa.dhs.gov

Common Form ICR: Yes
Description/Changes for Common Form Usage:

Approved RCFs using this ICR

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