Disaster Home Loan Application

Forms and Documents

Document Name	Status
Form 5C Disaster Home Loan Application Form	Modified
Supporting statement rev 5C (2006)2.doc Supporting Statement A	2006-09-21

IC Document Collections

IC ID	Document Title	Status
35603	Disaster Home Loan Application Form	Modified

ICR Details

OMB Control No: 3245-0018	ICR Reference No: 200609-3245-005
Status: Historical Active	Previous ICR Reference No: 200307-3245-001
Agency/Subagency: SBA	Agency Tracking No:
Title: Disaster Home Loan Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/18/2006
	Date Received in OIRA: 09/21/2006
Terms of Clearance: The agency is required to display the expiration date of this approval on the approved form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved	12/31/2006
Responses	44,951	0	47,962
Time Burden (Hours)	67,427	0	71,943
Cost Burden (Dollars)	0	0	0

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Abstract: Application for benefits (loan) used to determine eligibility and credit worthiness of individual victims who seek Federal assistance in a declared disaster. Respondents are disaster victims seeking disaster assistance.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 18402	04/11/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 54702	09/18/2006
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
Disaster Home Loan Application	5C	Disaster Home Loan Application

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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	44,951	47,962	0	0	-3,011	0
Annual Time Burden (Hours)	67,427	71,943	0	0	-4,516	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Decrerase in total annual burden hours are as a result of a slight decrease in disaster activity and consequent decrease in the number of respondents during the most recent 4 fiscal years.

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Annual Cost to Federal Government: $3,607,858

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: 09/21/2006

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