The Notice of loss is the form used to
notify FEMA that a claimant has suffered injury, damage or loss
that the claimant asserts was caused by the Cerro Grande Fire and
to elect the Cerro Grande Fire Assistance Act (CGFAA), Public Law
106,246, as a claimant's exclusive remedy to redress loss, injury
and damages caused by the Cerro Grande Fire. A claimant is not
required to elect the CGFAA remedy but may elect to use the Federal
Government under the Federal Tort Claims Act
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.