Notice of Interest, Private Nonprofit Checklist

ICR 199606-3067-001

OMB: 3067-0033

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
31987 Migrated
ICR Details
3067-0033 199606-3067-001
Historical Active 199310-3067-001
FEMA
Notice of Interest, Private Nonprofit Checklist
Extension without change of a currently approved collection   No
Regular
Approved without change 07/05/1996
Retrieve Notice of Action (NOA) 06/06/1996
This collection should include in its Paperwork Reduction Act Statement the public protection clause: A person is not required to respond to a collection of information unless it displays a currently valid OMB control number.
  Inventory as of this Action Requested Previously Approved
07/31/1999 07/31/1999 08/31/1996
4,000 0 3,000
1,750 0 1,750
37,000 0 0

Applicants use the form to list damages to property and facilities so that inspections may be appropriately assigned for formal surveys. The form is signed by the applicant and submitted to the Governor's authorized representative. The Private Nonprofit Checklist documents the applicant's private nonprofit eligibility status and facilitates the processing of the applicant's application for assistance.

None
None


No

1
IC Title Form No. Form Name
Notice of Interest, Private Nonprofit Checklist FEMA-90-49

  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 4,000 3,000 0 1,000 0 0
Annual Time Burden (Hours) 1,750 1,750 0 0 0 0
Annual Cost Burden (Dollars) 37,000 0 0 37,000 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.
06/06/1996


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