Information Collection

Disaster Survey Worksheet

IC 35689 under ICR 201507-3245-001 · OMB 3245-0136.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.