Notice of Loss--Cerro Grande Fire Assistance Act

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
32097	Notice of Loss--Cerro Grande Fire Assistance Act	Migrated

ICR Details

OMB Control No: 3067-0280	ICR Reference No: 200008-3067-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: FEMA	Agency Tracking No:
Title: Notice of Loss--Cerro Grande Fire Assistance Act
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/09/2000
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/09/2000
	Date Received in OIRA: 08/07/2000
Terms of Clearance: OMB is gravely concerned about issuing a form implementing regulations prior to the drafting or publication of the regulations themselves. Thus, to preserve the practical utility of the collection, the agency is instructed to inform all respondents that responded to this collection prior to the date of publication of the regulations, by letter or in person, of the contents of the regulations and any changes to their rights and responsibilities under this program that differ from those stated or implied on this approved form. The agency must report on its implementation of this requirement upon future submission. The agency must modify this form to conform to the regulations as eventually published upon submission for regular PRA approval. In addition, the agency must be prepared to receive submissions of this form from the public upon release of this form to the public, including being prepared to datestamp submissions upon receipt.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2000	11/30/2000
Responses	18,000	0	0
Time Burden (Hours)	13,500	0	0
Cost Burden (Dollars)	6,000	0	0

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Abstract: The Notice of Loss form identifies persons who have elected to pursue redress of Cerro Grande fire-related injuries under the Cerro Grande Fire Assistance Act, P.L. 106-246

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Notice of Loss--Cerro Grande Fire Assistance Act

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ICR Summary of Burden

	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	18,000	0	0	18,000	0	0
Annual Time Burden (Hours)	13,500	0	0	13,500	0	0
Annual Cost Burden (Dollars)	6,000	0	0	6,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/07/2000

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