Exemption of State-Owned Properties under Self-Insurance Plan

ICR 199902-3067-002

OMB: 3067-0127

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
3067-0127 199902-3067-002
Historical Active 199509-3067-011
FEMA
Exemption of State-Owned Properties under Self-Insurance Plan
Extension without change of a currently approved collection   No
Regular
Approved without change 03/30/1999
Retrieve Notice of Action (NOA) 02/26/1999
  Inventory as of this Action Requested Previously Approved
03/31/2002 03/31/2002 03/31/1999
20 0 20
100 0 100
0 0 0

Application for exemption is made to the Federal Insurance Administration by the Governor or other duly authorized official of the State accompained by sufficient supporting documentation which certifies that the plan of self-insurance upon which the applicaiton for exemption is based meets or exceed the standards set forth in 44 CFR section 75.11. Upon determining that the State's plan of self-insurance equals or exceeds the standards, the Administration then certifies that the State is exempt from the requirements for the purchase of flood insurance for State-owned structures and their contents.

None
None


No

1
IC Title Form No. Form Name
Exemption of State-Owned Properties under Self-Insurance Plan

  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 20 20 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 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.
02/26/1999


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