Information Collection

Disaster Assistance Registration; Applicant Statement/ Authorization; Declaration of Applicant

IC 31972 under ICR 199903-3067-003 · OMB 3067-0009.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Disaster Assistance Registration; Applicant Statement/ Authorization; Declaration of Applicant	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	90-69E	Yes	Yes
Form	FEMA-FORM-90-69	Yes	Yes
Form	90-69B	Yes	Yes
Form	90-60C	Yes	Yes
Form	90-69D	Yes	Yes
Form	90-69A	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 540,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 63 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	540,000	540,000
Annual IC Time Burden (Hours)	146,520	146,520
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.