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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR SUPERFUND TEMPORARY OR PERMANENT RELOCATION ASSISTANCE

ICR 199101-3067-001 · OMB 3067-0168 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
152234 APPLICATION FOR SUPERFUND TEMPORARY OR PERMANENT RELOCATION ASSISTANCE Form Migrated
ICR Details
3067-0168 199101-3067-001
Historical Active 199006-3067-002
FEMA
APPLICATION FOR SUPERFUND TEMPORARY OR PERMANENT RELOCATION ASSISTANCE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/24/1991
Retrieve Notice of Action (NOA) 01/25/1991
  Inventory as of this Action Requested Previously Approved
12/31/1991 12/31/1991
68 0 0
85 0 0
0 0 0
INFORMATION IS USED TO DETERMINE ELIGIBILITY FOR TEMPORARY OR PERMANEN RELOCATION ASSISTANCE REQUIRED AS A RESULT OF A HAZARDOUS MATERIALS RESPONSE ACTION THAT REQUIRES RELOCATION FOR HEALTH OR SAFETY REASONS. ASSISTANCE IS PROVIDED UNDER EPA'S SUPERFUND PROGRAM TO RESIDENTS, BUSINESSES, AND COMMUNITY FACILITIES.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR SUPERFUND TEMPORARY OR PERMANENT RELOCATION ASSISTANCE FEMA 90-90
  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 68 0 0 -96 164 0
Annual Time Burden (Hours) 85 0 0 -120 205 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
01/25/1991