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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 200207-3067-009 · OMB 3067-0009 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
42595 Disaster Assistance Registration; Applicant Statement/Authorization; Declaration of Applicant Form Migrated
ICR Details
3067-0009 200207-3067-009
Historical Active 199910-3067-001
FEMA
Disaster Assistance Registration; Applicant Statement/Authorization; Declaration of Applicant
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/15/2002
Retrieve Notice of Action (NOA) 07/15/2002
  Inventory as of this Action Requested Previously Approved
02/28/2003 02/28/2003 02/28/2003
460,900 0 460,900
171,148 0 171,148
0 0 0
The forms are used only in Presidential-declared major disasters or emergencies to allow individuals, farmers, small business owners, and private nonprofit organizations to apply for Federal disaster assistance. The information serves as the application for FEMA's Disaster Housing Program and Individual and Family Grant Program and is relayed to other Federal and State agencies administering disaster relief programs appropriate to the applicant's needs.
None
None
No
1
IC Title Form No. Form Name
Disaster Assistance Registration; Applicant Statement/Authorization; Declaration of Applicant FEMA-90-69, FEMA-90-69A, FEMA-90-69B, FEMA-90-69C, FEMA-90-69D, FEMA-90-69E
  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 460,900 460,900 0 0 0 0
Annual Time Burden (Hours) 171,148 171,148 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.
07/15/2002