Information Collection

Recertification Worksheet

IC 216401 under ICR 201505-1660-001 · OMB 1660-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0138 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 009-0-13 Recertification Worksheet	Form
FEMA Form 009-0-13 Recertification Worksheet FEMA Form 009-0-134.pdf	Form

IC Title:

Recertification Worksheet

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 44 CFR 206.117

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	FEMA Form 009-0-134	Recertification Worksheet	FEMA Form 009-0-134.pdf		Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: DHS/ALL-008 â Department of Homeland Security Accounts Receivable System of Records

FR Citation: 78 FR 25282

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	1,667	1,667
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.