Become a Training Provider

Vendor Vetting Form

To ensure the quality of the NICCS Education and Training Catalog, the NICCS Supervisory Office (NICCS SO) has created a set of vetting criteria. This criterion ensures that the courses listed in the catalog are offered by organizations that are recognized as providing quality resources, while not excluding small or medium sized organizations.

OMB Control Number: 1670-0027

Expiration Date: 05/23/2024

View Information Collection Review

Contact Information

* The asterisk indicates a required field.

Organization Name

Organization Street Address

City

U.S. States/Territories

Zip Code (5 digit)

Organization URL

Primary Point of Contact (POC) First and Last Name

Phone (XXX-XXX-XXXX)

Email (email@email.com)

Alternate POC First and Last Name

Alternate POC Phone

Alternate POC Email Address

Secondary POC Name

Secondary POC Phone

Secondary POC Email Address

Alt. Phone

Alt. Email

Provider Qualifications

This section assists the NICCS SO to review provider qualification.

Please check the option that applies to your organization for the NICCS SO to confirm it is a legitimate business.

Your organization is a federal agency or department training provider

Your organization has been awarded a General Services Administration (GSA) Federal Acquisition Service Contract

Your organization is a designated National Center of Academic Excellence (NCAE)

Your organization is an academic institution recognized by the U.S. Department of Education or the Council for Higher Education Accreditation (CHEA)

Your organization is a legitimate business that meets all the following:

Been in business for at least one year

Conducted or delivered training course(s) at least two (2) times over an 18-month period

Holds a business entity license in the United States, Select State (Required for this option):

Please check all the below that are performed by your organization.

Measure course effectiveness

Measure student review and feedback

Regularly evaluates ongoing curriculum development and course modification

Completes analysis of effectiveness of changes implemented

Tracks student completion information and maintains this information for at least 3 years

Delivers a certificate upon successful completion of the course

Provider Acknowledgments

To be considered for inclusion on the NICCS Education and Training Catalog, potential providers must acknowledge CISA’s exclusion criteria and rights by reviewing the below and checking the corresponding check box.

Check the box below to demonstrate acknowledgement of CISA’s exclusion criteria.

By Checking this box, the organization acknowledges that they will be removed from the Training Catalog if any of the following events occur:

Your organization listed inaccurate or incorrect information in your submission,
Your organization has had a serious complaint lodged against it with any regulatory body,
Your organization denies service on the basis of color, race, religion, gender, sexual orientation, ancestry, nationality, or on any other basis not permitted by law,
Your organization promotes or provides services which are unlawful,
Your organization misrepresents, by omission or commission, pertinent facts regarding their services, organizational structure, or any other pertinent matter,
Your organization fails to respond to requests from the NICCS SO, or
Your organization links to a site that exhibits hate, bias, discrimination, pornography, libelous or otherwise defamatory content.

Check the box below to demonstrate acknowledgement of CISA’s right to deny or remove training providers from the NICCS Education and Training Catalog.

By checking this box, the organization acknowledges that CISA and the NICCS SO maintains the right to deny or remove training providers and content from the NICCS Education and training Catalog for the following reasons:

The linked website contains misleading information or unsubstantiated claims or is determined to be in conflict with CISA’s mission or policies
The linked website fails to meet NICCS requirements for appearing in the Training Catalog
At CISA’s sole discretion

Check the box below to demonstrate acknowledgement of CISA’s endorsement policy.

By checking this box, the organization acknowledges that presence in the NICCS Education and Training Catalog DOES NOT imply an endorsement of any specific commercial products, processes, or services.

Your participation in the NICCS Catalog does not give you permission to use the Department of Homeland Security (DHS) Seal or CISA Logo. Furthermore, your participation in the Catalog does not imply an endorsement from DHS or CISA. Unauthorized use of the Seal/Logo or false statements of endorsement may result in removal from the Catalog.

Check the box below to demonstrate acknowledgement of CISA’s dispute procedures.

If a complaint is lodged against you, CISA will send you a written Notice along with any pertinent evidence.

You have 15 days from the date marked on the Notice to respond. Once we have received your response, the matter will be reviewed by CISA. CISA will send you a Final Decision within 30 days of receipt of your response. If the complaint is found to be persuasive, your participation in the Catalog could be suspended or terminated.

The following is to be completed by an authorized representative of the provider:

I acknowledge I have read and understood the contents of this application and have been given full opportunity to discuss the implications of this content with any and all decision makers of my organization. I also acknowledge that the information above is truthful and accurate.

Authorized Representative Name (Last, First)

Authorized Representative Title

Web Form Privacy Act Statement

Authority: 5 U.S.C. §301 and 44 U.S.C. §3101 authorizes the collection of this information.

Purpose: The purpose for the collection of this information is to register cybersecurity training providers with the Department of Homeland Security(DHS) for inclusion in the National Initiative for Cybersecurity Careers and Studies(NICCS), Cybersecurity Education and Training Catalog.

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 Systems November 25, 2008 73 FR 71659.

Disclosure: Providing this information is voluntary, however failure to provide this information will prevent DHS from processing your registration request.

Paperwork Reduction Act

The public reporting burden to complete this information collection is estimated at 5 minutes per response, including the time completing and reviewing the collected information. The collection of this information is voluntary. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number and expiration date. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to DHS/CISA. Mail Stop 0608, 245 Murray Lane SW, Arlington, VA 20598. ATTN: PRA [1670-0027].