Disaster Survey Worksheet

ICR 201209-3245-002

OMB: 3245-0136

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2012-09-27
Supplementary Document
2012-09-27
Supporting Statement A
2012-09-27
IC Document Collections
IC ID
Document
Title
Status
35689 Modified
ICR Details
3245-0136 201209-3245-002
Historical Active 201001-3245-001
SBA
Disaster Survey Worksheet
Extension without change of a currently approved collection   No
Regular
Approved without change 10/31/2012
Retrieve Notice of Action (NOA) 09/27/2012
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved 02/28/2013
2,880 0 3,160
239 0 262
0 0 0

SBA is required to survey affected disaster areas within a state upon request by the Governor of that state to determine if there is sufficient damage to warrant a disaster declaration. Information is obtained from individuals, businesses, and public officials.

None
None

Not associated with rulemaking

  77 FR 43411 07/24/2012
77 FR 59447 09/27/2012
No

1
IC Title Form No. Form Name
Disaster Survey Worksheet SBA FORM 987 Disaster Survey Worksheet

  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 2,880 3,160 0 -280 0 0
Annual Time Burden (Hours) 239 262 0 -23 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Decrease due to a small decrease in the number of surveys conducted during the during the most three fiscal years.

$0
No
No
No
No
No
Uncollected
Cynthia Pitts 202 205-6734 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/27/2012


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