Information Collection

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

IC 42595 under ICR 200207-3067-009 · OMB 3067-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FEMA-90-69D	Yes	Yes
Form	FEMA-90-69A	Yes	Yes
Form	FEMA-90-69B	Yes	Yes
Form	FEMA-90-69C	Yes	Yes
Form	FEMA-90-69E	Yes	Yes
Form	FEMA-90-69	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 460,900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 76 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	460,900	460,900
Annual IC Time Burden (Hours)	171,148	171,148
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.