Disaster Home Loan Application

Forms and Documents

Document Name	Status
Form SBA FORM 5C Disaster Home Loan Application Form	Modified
Disaster Home 5C Small Business Act 11-17-11.pdf Supplementary Document	2011-11-22
Disaster Home 5C System 11-17-11.pdf Supplementary Document	2011-11-22
Disaster Home 5C Supporting Statement 11-17-11.doc Supporting Statement A	2011-11-22

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: 201111-3245-003
Status: Historical Active	Previous ICR Reference No: 200812-3245-002
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 with change	Conclusion Date: 01/03/2012
	Date Received in OIRA: 11/22/2011
Terms of Clearance: SBA should review all collection instruments to provide easy to understand "Send To" information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	02/29/2012
Responses	34,273	0	46,462
Time Burden (Hours)	42,841	0	69,693
Cost Burden (Dollars)	0	0	0

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Abstract: The requested information is submitted by homeowners or renters when applying for federal financial assistance (loans) to help in their recovery from a declared disaster. SBA uses the information to determine the creditworthiness of these loan applicants, as well as their eligibility for financial 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:
	76 FR 55455	09/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 72019	11/21/2011
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	SBA FORM 5C ELA SCREENS , SBA FORM 5C	Disaster Home Loan Application ,   ELA SCREENS

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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	34,273	46,462	0	-12,189	0	0
Annual Time Burden (Hours)	42,841	69,693	0	-26,852	0	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: Due to decreased applications

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Annual Cost to Federal Government: $860,248

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 11/22/2011

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