Information Collection

Disaster Survey Worksheet

IC 35689 under ICR 202103-3245-006 · OMB 3245-0136.

Documents and Forms

Document Name Document Type
Form SBA Form 987 Disaster Survey Worksheet Form and Instruction
SBA Form 987 Disaster Survey Worksheet 3245-0136 987 Revised Final clearance 3-1-2021.xlsx www.sba.gov Form and Instruction
SBA Form 987 Disaster Survey Worksheet 3245-0136 987 Revised Final clearance 3-1-2021.xlsx www.sba.gov Form and Instruction

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 and Instruction	SBA Form 987	Disaster Survey Worksheet	3245-0136 987 Revised Final clearance 3-1-2021.xlsx	www.sba.gov	Yes	No	Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,480	-280	2,760
Annual IC Time Burden (Hours)	206	-23	229
Annual IC Cost Burden (Dollars)	3,472	3,472	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.