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Federal Crime Insurance Program Crime Insurance Applications - Proof Of Loss
FEDERAL CRIME INSURANCE PROGRAM CRIME INSURANCE APPLICATIONS - PROOF OF LOSS
OMB: 3067-0031
IC ID: 175712
OMB.report
FEMA
OMB 3067-0031
ICR 198309-3067-008
IC 175712
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3067-0031 can be found here:
1994-02-07 - Revision of a currently approved collection
1991-07-11 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FEDERAL CRIME INSURANCE PROGRAM CRIME INSURANCE APPLICATIONS - PROOF OF LOSS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FEMA 81-14
No
No
Form
HUD-1640
No
No
Form
FEMA 81-12
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
21,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
21,500
0
0
0
0
21,500
Annual IC Time Burden (Hours)
13,125
0
0
7,750
0
5,375
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.