Disaster Assistance Registration; Applicant Statement/Authorization; Declaration of Applicant

ICR 199910-3067-001

OMB: 3067-0009

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3067-0009 199910-3067-001
Historical Active 199903-3067-003
FEMA
Disaster Assistance Registration; Applicant Statement/Authorization; Declaration of Applicant
Revision of a currently approved collection   No
Regular
Approved without change 02/08/2000
Retrieve Notice of Action (NOA) 10/29/1999
The agency should include the OMB number and statement informing the public of the significance of the OMB number (see 44 U.S.C. 3512) in the NEMIS 'Privacy Act Statement.' In addition, the statement informing the public of the significance of the OMB number must be place on the paper forms as well.
  Inventory as of this Action Requested Previously Approved
02/28/2003 02/28/2003 02/29/2000
460,900 0 540,000
171,148 0 146,520
0 0 0

The forms are used only in Presidential-declared major disasters or emergencies to allow individuals, farmers, small business owners, and private nonprofit organizations to apply for Federal disaster assistance. The information serves as the application for FEMA's Disaster Housing Program and Individual and Family Grant Program and is relayed to other Federal and State agencies administering disaster relief programs appropriate to the applicant's needs.

None
None


No

1
IC Title Form No. Form Name
Disaster Assistance Registration; Applicant Statement/Authorization; Declaration of Applicant FEMA-90-69, FEMA-90-69A, FEMA-90-69B, FEMA-90-69C, FEMA-90-69D, FEMA-90-69E

  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 460,900 540,000 0 -84,518 5,418 0
Annual Time Burden (Hours) 171,148 146,520 0 26,315 -1,687 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
10/29/1999


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