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View RCF - OIRA Conclusion
RCF ID:
202405-1093-001CF
Previous RCF ID:
Status:
Active
Expiration Date:
03/31/2027
Agency/Subagency:
DOI/OS
Agency Tracking No:
Host OMB Control No:
1670-0052
Host ICR Reference No:
202311-1670-001
Title:
DOI Usage of CISA Common Software Attestation Form (OMB Control No: 1670-0052).
Type of RCF:
RCF New
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/25/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/28/2024
Terms of Clearance:
Description of Agency Usage:
This is a request to cover DOI's common form usage of 1670-0052, CISA Common Software Attestation Form.
Authorizing Statute(s):
None
Annual Cost to Federal Government:
$0
Agency Contact:
Jeffrey Parrillo 202 208-7072 jeffrey_parrillo@ios.doi.gov
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Secure Software Development Attestation Form
186
451
0
Form and Instruction
N/A
Secure Software Sefl-Attestation Common Form
RCF Summary of Burden:
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
186
0
0
186
0
0
Annual Time Burden (Hours)
451
0
0
451
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
This is a new request for common form usgae.