Enviornment and Historic Preservation Certifications

Community Rating System (CRS) Program-Application Worksheets and Commentary

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0022 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-35 Enviornment and Historic Preservation Certifications Form and Instruction
FEMA Form 086-0-35 Enviornmental and Historic Preservation Certifications FEMA Form 086-0-35B CRS Environmental and Historic Preservation.doc crsresources.org/joining-the-crs/quick-check/ Form and Instruction

Information Collection (IC) Details

IC Title:	Enviornment and Historic Preservation Certifications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 086-0-35B	Enviornmental and Historic Preservation Certifications	FEMA Form 086-0-35B CRS Environmental and Historic Preservation.doc	http://crsresources.org/joining-the-crs/quick-check/	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	74	74
Annual IC Time Burden (Hours)	118	118
Annual IC Cost Burden (Dollars)	4,034	4,034

Documents for IC

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.