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Federal forms, ICRs, and supporting documents

Information Collection Request

CRIME INSURANCE APPLICATIONS RESIDENTIAL AND COMMERCIAL, CRIME INSURANCE NOTICE AND PROOF OF LOSS

ICR 197711-3067-001 · OMB 3067-0031 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
151858 CRIME INSURANCE APPLICATIONS RESIDENTIAL AND COMMERCIAL, CRIME INSURANCE NOTICE AND PROOF OF LOSS Form Migrated
ICR Details
3067-0031 197711-3067-001
Historical Active 197710-3067-002
FEMA
CRIME INSURANCE APPLICATIONS RESIDENTIAL AND COMMERCIAL, CRIME INSURANCE NOTICE AND PROOF OF LOSS
Extension without change of a currently approved collection   No
Regular
Approved without change 11/04/1977
Retrieve Notice of Action (NOA) 11/01/1977
  Inventory as of this Action Requested Previously Approved
01/31/1978 01/31/1978 02/28/1978
5,000 0 5,000
1,250 0 1,250
0 0 0

None
None
No
1
IC Title Form No. Form Name
CRIME INSURANCE APPLICATIONS RESIDENTIAL AND COMMERCIAL, CRIME INSURANCE NOTICE AND PROOF OF LOSS HUD-1621, 1631, 1640
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 1,250 1,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/01/1977