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Cyber Incident Reporting

* Indicates required field
Submitter’s Contact Information
* Type of Organization
* Critical Infrastructure Owner
Impact Details
Is the confidentiality, integrity, and/or availability of the organization’s information systems affected?
Please define the functional impact to the organization by selecting one of the following
How was this incident detected?
What is the function of the system(s) affected? Please select all that apply
Threat Vectors
Please select at least one threat vector
Cyber Incident Report Type
Information Impact to the Organization
Was the confidentiality of classified information compromised?
Was proprietary information such as protected critical infrastructure information (PCII), intellectual property, or a trade secret accessed or exfiltrated?
Was personally identifiable information (PII) such as taxpayer, employee, or beneficiary accessed or exfiltrated?
Was protected health information (PHI) such as medical history, test and laboratory results, insurance information accessed or exfiltrated?
Was sensitive or proprietary information modified or deleted?
Please select the organization’s recoverability for this incident