Disaster Survey Worksheet

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0136 can be found here:

Documents and Forms

Document Name Document Type
Form SBA Form 987 Disaster Survey Worksheet Form and Instruction
SBA Form 987 Disaster Survey Worksheet 3245-0136 BA Form 987 7-1-15.pdf www.sba.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disaster Survey Worksheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	SBA Form 987	Disaster Survey Worksheet	3245-0136 BA Form 987 7-1-15.pdf	www.sba.gov	Yes	No	Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,400	-480	2,880
Annual IC Time Burden (Hours)	199	-40	239
Annual IC Cost Burden (Dollars)	0	0	0

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.