Claims of Federal Personnel for Personal Property Damage or Loss

ICR 199812-3067-003

OMB: 3067-0167

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3067-0167 199812-3067-003
Historical Active 199509-3067-012
FEMA
Claims of Federal Personnel for Personal Property Damage or Loss
Extension without change of a currently approved collection   No
Regular
Approved without change 03/29/1999
Retrieve Notice of Action (NOA) 12/15/1998
  Inventory as of this Action Requested Previously Approved
03/31/2002 03/31/2002 03/31/1999
7 0 5
7 0 10
0 0 0

The information is provided by FEMA personnel to file a claim against FEMA for personal property damage incident to service. The information is used by FEMA to determine the appropriate disposition and payment of claims.

None
None


No

1
IC Title Form No. Form Name
Claims of Federal Personnel for Personal Property Damage or Loss

  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 7 5 0 0 2 0
Annual Time Burden (Hours) 7 10 0 0 -3 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.
12/15/1998


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