Please provide as much information as you can to answer the following questions to allow US-CERT to understand your incident.
Regular
Supplemented
Extended
Not Recoverable
Please select at least one threat vector *
Unknown
Attrition
Web
Email
Impersonation
Improper Usage
Loss/Theft of Equipment
Other
Physical Cause
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Authority: 5 U.S.C. § 301 and 44 U.S.C. § 3101 authorize the collection of this information.
Purpose: The primary purpose for the collection of this information is to allow the Department of Homeland Security to contact you regarding your request.
Routine Uses: The information collected may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This includes using the information as necessary and authorized by the routine uses published in DHS/ALL-002 - Department of Homeland Security (DHS) Mailing and Other Lists System Novermber 25, 2008, 73 FR 71659.
Disclosure: Providing this information is voluntary, however, failure to provide this information will prevent DHS from contacting you in the event there are questions regarding your request.