ELIGIBILITY DETERMINATION - PART B, DUPLICATION OF BENEFITS

ICR 198307-3067-001

OMB: 3067-0126

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
152121
Migrated
ICR Details
3067-0126 198307-3067-001
Historical Active
FEMA
ELIGIBILITY DETERMINATION - PART B, DUPLICATION OF BENEFITS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/17/1983
Retrieve Notice of Action (NOA) 07/07/1983
  Inventory as of this Action Requested Previously Approved
06/30/1986 06/30/1986
4,500 0 0
375 0 0
0 0 0

USED TO DOCUMENT THE DETERMINATION REGARDING DUPLICATION OF BENEFITS AND SERVES AS THE RECORD FOR THE FINAL ELIGIBILITY OF THE DISASTER VICTIM. THE INFORMATION IS OBTAINED FROM THE APPLICANT (ON THE TEMPORARY HOUSING APPLICATION) AND WHEN NECESSARY, FROM THE INSURANCE COMPANY.

None
None


No

1
IC Title Form No. Form Name
ELIGIBILITY DETERMINATION - PART B, DUPLICATION OF BENEFITS

  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 4,500 0 0 4,500 0 0
Annual Time Burden (Hours) 375 0 0 375 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/07/1983


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