OMB Form 83-C

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

OMS Control Number

Agency/subagency
Department of Homeland Security/FEMA

1660

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Enter only items that change
Current record

.0083

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New record

Agency form number (s)
FF­
FF­
FFAnnual reporting and record keeping hour
burden

-

-

Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
Program change
Adiustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)

I

~

Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes"
The title previously titled Application for Community Disaster Loan (COL) and the Special Community Disaster Loan (SCDL)
Program has been changed. The new title of this collection is Application for Community Disaster Loan (COL) Program.
Sign7f Senior Offi ial or designee:
""L

Letry Gral Director, Recor Management Division
.. ThiS form cannot be used to extend an expiration date.
OMS 8J-C

lDate:

For OIRA Use

i

i4/22/2009

10/95