APPLICATION, VERIFICATION, AND RECERTIFICATION FOR TEMPORARY MORTGAGE OR RENTAL PAYMENT ASSISTANCE

ICR 199306-3067-001

OMB: 3067-0004

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3067-0004 199306-3067-001
Historical Active 199003-3067-003
FEMA
APPLICATION, VERIFICATION, AND RECERTIFICATION FOR TEMPORARY MORTGAGE OR RENTAL PAYMENT ASSISTANCE
Revision of a currently approved collection   No
Regular
Approved without change 08/24/1993
Retrieve Notice of Action (NOA) 06/09/1993
  Inventory as of this Action Requested Previously Approved
05/31/1996 05/31/1996 08/31/1993
12,000 0 175
3,000 0 52
0 0 0

THESE FORMS ARE USED TO ESTABLISH THE REQUEST AND NEEDS OF A VICTIM OF A PRESIDENTIALLY-DECLARED DISASTER FOR MORTGAGE OR RENTAL PAYMENT AND CONTINUING NEED FOR ASSISTANCE. VERIFICATION OF DATA IS OBTAINED FROM THE APPLICATION BY CONTACTING EMPLOYERS, LENDING INSTITUTIONS, AND LANDLORDS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION, VERIFICATION, AND RECERTIFICATION FOR TEMPORARY MORTGAGE OR RENTAL PAYMENT ASSISTANCE FF 90-57, 90-33

  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 12,000 175 0 0 11,825 0
Annual Time Burden (Hours) 3,000 52 0 0 2,948 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.
06/09/1993


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