Information Collection

Autorización para la Divulgación de Información bajo el Acta de Privacidad

IC 242028 under ICR 202005-1660-005 · OMB 1660-0061.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0061 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 140-003d Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction
FEMA Form 140-003d Authorization for the Release of Information Under the P FEMA Form 140-003d-1S.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AutorizaciÃ³n para la DivulgaciÃ³n de InformaciÃ³n bajo el Acta de Privacidad	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.115

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 140-003d-1S	Authorization for the Release of Information Under the Privacy Act	FEMA Form 140-003d-1S.pdf		No		Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title: DHS/FEMA-008-Disaster Recovery Assistance Files	FR Citation: 78 FR 25282

Number of Respondents: 96	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	16	16
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.