Information Collection

Declaration and Release (Spanish)

IC 241600 under ICR 202403-1660-004 · OMB 1660-0103.

Documents and Forms

Document Name Document Type
Form 009-0-4 Declaration and Release (Spanish) Form and Instruction
009-0-4 Declaration and Release (Spanish) FEMA FORM 009-0-4 (Spanish).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Declaration and Release (Spanish)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	009-0-4	Declaration and Release (Spanish)	FEMA FORM 009-0-4 (Spanish).pdf		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 59	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,239	1,239
Annual IC Time Burden (Hours)	-99	99
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.