THIS FORM SERVES AS A SUPPLEMENT TO
THE DAMAGE SURVEY REPORT WHERE IT IS NECESSARY TO PROVIDE MORE
DETAILED INFORMATION SPECIFICALLY ON BRID DAMAGE SUSTAINED DURING A
DISASTER. THE DAMAGE SURVEY REPORT WHILE GENERALLY PROVIDING
SUFFICIENT DETAIL ON MOST DAMAGES WAS FOUND TO BE LACKING IN
SUPPORT OF CLAIMS FOR RESTORATION OR REPLACEMENT OF BRIDGES IT
WOULD NOT BE PRACTICAL TO COMBINE THE DATA INTO A SINGLE
FORM.
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.