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Health Sector Cybersecurity Coordination Center (HC3)
HC3@HHS.GOV | www.HHS.gov/HC3

All survey responses are combined and summarized in a report to protect your anonymity.

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* 1. Product Name:

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* 2. Product ID:

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* 3. Organization Type:

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* 4. Organization Size:

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* 8. How do you plan to use this product in support of your mission? (Check all that apply.)

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* 9. What topics are you interested in hearing about? (Check all that apply.)

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* 10. Do you have any additional comments or topics of interest?

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer.
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