Information Collection

Pre-Disaster Mitigation Small Business Loan Application

IC 35789 under ICR 200609-3245-006 · OMB 3245-0326.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5M Pre-Disaster Mitigation Small Business Loan Application	Form
5M Pre-Disaster Mitigation Small Business Loan Application 5M Form.doc	Form
Statement Required by Laws (5M).doc Statement Required by Laws and Executive Orders	IC Document
Supporting Statement for 5M.doc Supporting Statement for 5M	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 13 CFR 121 13 CFR 123

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5M	Pre-Disaster Mitigation Small Business Loan Application	5M Form.doc		No		Paper Only

Line of Business: Disaster Management

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	16	-2,484	2,500
Annual IC Time Burden (Hours)	32	-4,968	5,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Statement Required by Laws and Executive Orders	Statement Required by Laws (5M).doc	09/26/2006
Supporting Statement for 5M	Supporting Statement for 5M.doc	09/26/2006

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