Information Collection

Disaster Survey Worksheet

IC 35689 under ICR 200701-3245-003 · OMB 3245-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0136 can be found here:

Documents and Forms

Document Name Document Type
Form 987 Disaster Survey Worksheet Form
987 Disaster Survey Worksheet SBA Form 987.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disaster Survey Worksheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	987	Disaster Survey Worksheet	SBA Form 987.pdf		No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,640	-360	3,000
Annual IC Time Burden (Hours)	219	-30	249
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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