Information Collection

Emergency Loan Application and Evacuation Documentation

IC 15037 under ICR 201003-1405-001 · OMB 1405-0150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0150 can be found here:

Documents and Forms

Document Name Document Type
Form DS-3072 Emergency Loan Application and Evacuation Documentation Form and Instruction
DS-3072 Emergency Loan Application and Evacuation Documentation DS-3072.pdf Form and Instruction
DS-3072 Emergency Loan Application and Evacuation Documentation DS-3072 (11-2008 rev).pdf Form and Instruction
DS-3072 Emergency Loan Application and Evacuation Documentation DS3072 (2-2010).pdf www.state.gov/m/a/dir/forms/c21447.htm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Emergency Loan Application and Evacuation Documentation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 71.1, 71.6, 71.7

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-3072	Emergency Loan Application and Evacuation Documentation	DS-3072.pdf		No		Paper Only
Form and Instruction	DS-3072	Emergency Loan Application and Evacuation Documentation	DS-3072 (11-2008 rev).pdf		No		Paper Only
Form and Instruction	DS-3072	Emergency Loan Application and Evacuation Documentation	DS3072 (2-2010).pdf	http://www.state.gov/m/a/dir/forms/c21447.htm	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,176	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,176	176	1,000
Annual IC Time Burden (Hours)	196	30	166
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.