CRIME INSURANCE APPLICATIONS AND POLICIES (RESIDENTIAL AND COMMERICIAL); NOTICE AND PROOF OF LOSS

ICR 198003-3067-006

OMB: 3067-0031

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3067-0031 198003-3067-006
Historical Active 198002-3067-019
FEMA
CRIME INSURANCE APPLICATIONS AND POLICIES (RESIDENTIAL AND COMMERICIAL); NOTICE AND PROOF OF LOSS
Extension without change of a currently approved collection   No
Regular
Approved without change 05/02/1980
Retrieve Notice of Action (NOA) 03/10/1980
  Inventory as of this Action Requested Previously Approved
01/31/1983 01/31/1983 05/31/1980
5,000 0 5,000
1,250 0 1,250
0 0 0

THE URBAN PROPERTY PROTECTION & REINSURANCE ACT '68, AS AMENDED, AUTHORIZES THAT FED. CRIME INSURANCE BE PROVIDED AT AN AFFORDABLE PRICE IN ANY STATE WHICH HAS A CRITICAL CRIME INSURANCE AVAILABILITY PROBLEM AND DOES NOT HAVE AN APPROPRIATE STATE PROGRAM TO PROVIDE A SOLUTION. THESE FORMS WILL FACILITATE THE ISSUANCE OF POLICIES AND THE HANDLING AND REPORTING OF CLAIMS.

None
None


No

1
IC Title Form No. Form Name
CRIME INSURANCE APPLICATIONS AND POLICIES (RESIDENTIAL AND COMMERICIAL); NOTICE AND PROOF OF LOSS 81-13;, 81-14; &, 81-15, FEMA 81-11;, 81-12;

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 1,250 1,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/10/1980


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