Information Collection

Write Your Own (WYO) Company Participation Criteria; New Applicant

IC 21105 under ICR 201504-1660-002 · OMB 1660-0038.

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Information Collection (IC) Details

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IC Title:	Write Your Own (WYO) Company Participation Criteria; New Applicant	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 62.24

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	0	5
Annual IC Time Burden (Hours)	45	10	35
Annual IC Cost Burden (Dollars)	28	1	27

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