Information Collection

Form 81-69,Community Visit Report

IC 182017 under ICR 200708-1660-004 · OMB 1660-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0023 can be found here:

Documents and Forms

Document Name Document Type
Form 81-69 Form 81-69,Community Visit Report Form
81-69 Community Visit Report 81-69.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 81-69,Community Visit Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	81-69	Community Visit Report	81-69.pdf		No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	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.