Information Collection

Public completes instrument

IC 212363 under ICR 201702-1028-002 · OMB 1028-0109.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
na Public completes instrument	Form and Instruction
iCoast_instrument_May2017.pdf	Form and Instruction

IC Title:

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	na				Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 63,581

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	63,581	62,631	950
Annual IC Time Burden (Hours)	3,179	2,704	475
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.

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