FINANCIAL STATEMENT

ICR 198305-3067-001

OMB: 3067-0040

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
151934 Migrated
ICR Details
3067-0040 198305-3067-001
Historical Active 198304-3067-010
FEMA
FINANCIAL STATEMENT
Revision of a currently approved collection   No
Regular
Approved without change 05/23/1983
Retrieve Notice of Action (NOA) 05/13/1983
  Inventory as of this Action Requested Previously Approved
08/31/1983 08/31/1983 06/30/1983
6,250 0 2,500
1,458 0 2,500
0 0 0

REQUIRED TO DOCUMENT FINANCIAL INFORMATION PROVIDED BY THE TEMPORARY HOUSING OCCUPANT, A VICTIM OF A PRESIDENTIALLY DECLARED DISASTER, REGARDING NEED FOR CONTINUED ASSISTANCE. DOCUMENTATION SUPPORTS DECISIONS REGARDING CONTINUATION OR TERMINATION OF ASSISTANCE.

None
None


No

1
IC Title Form No. Form Name
FINANCIAL STATEMENT HUD 99015

  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 6,250 2,500 0 0 3,750 0
Annual Time Burden (Hours) 1,458 2,500 0 0 -1,042 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.
05/13/1983


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