View RCF - OIRA Conclusion

Title: Secure Software Self-Attestation Common Form

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/28/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/09/2024
Terms of Clearance:

Description of Agency Usage: The agency needs a form for each vendor's software we use. This form may also be needed for the vendor's use.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Diane Pratte 928 779-2721 ext. 139 dpratte@onhir.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		19	46	0	Form and Instruction	N/A	Secure Software Sefl-Attestation Common Form

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	19	19
Annual Time Burden (Hours)	46	46
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: Corrected entry of Annual Number of Responses per Respondent