Information Collection

Governor's Request

IC 43971 under ICR 201206-1660-004 · OMB 1660-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 010-0-13 Governor's Request	Form and Instruction
FEMA Form 010-0-13 Request for Presidential Disaster Delcaration DECformNEW.pdf	Form and Instruction

IC Title:

Governor's Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.34

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 and Instruction	FEMA Form 010-0-13	Request for Presidential Disaster Delcaration	DECformNEW.pdf		Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	336	336
Annual IC Time Burden (Hours)	3,024	3,024
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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