Information Collection

Governor's Request for Disaster Declaration

IC 35675 under ICR 201201-3245-002 · OMB 3245-0121.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0121 can be found here:

Documents and Forms

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Document Name	Document Type

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IC Title:

Governor's Request for Disaster Declaration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 13 CFR 123.3

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

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	28	-32	60
Annual IC Time Burden (Hours)	1,240	40	1,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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