Application for Community Disaster Loan (CDL) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form 112-0-3C CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION	Form	New	Available
Form FEMA Form 090-0-1 CERTIFICATION OF ELIGIBILTY FOR COMMUNITY DISASTER LOANS	Form	Modified	Available
Form FEMA Form 090-0-2 Application for Community Disaster Loan	Form	Removed	Available
Form FEMA Form 085-0-1 LOCAL GOVERNMENT RESOLUTION - COLLATERAL SECURITY	Form	Modified	Available
Form FEMA Form 116-0-1 PROMISSARY NOTE	Form	Modified	Available
OMB Justification Memo.pdf	Supplementary Document	Uploaded 2017-11-13	Available
Supporting Statement for OMB Collection 1660-0083 Part A.docx	Supporting Statement A	Uploaded 2017-11-13	Available
SF-1199A.pdf	Supplementary Document	Uploaded 2015-07-27	Available
SORN, DHS-FEMA, 009-Hazard Mitigation, Disaster Public Assistance, and Disaster Loan Programs.pdf	Supplementary Document	Uploaded 2015-06-25	Available
Privacy PIA_pia_fema_grants_management.pdf	Supplementary Document	Uploaded 2015-06-25	Available
PTA, FEMA - Community Disaster Loan Program (1660-0083), 20141209, PRIV Final.pdf	Supplementary Document	Uploaded 2015-06-25	Available
Narrative of Changes from Last Submission OMB Collection 1660-0083.docx	Supplementary Document	Uploaded 2015-06-25	Available
Stafford Act Booklet 042213.pdf	Supplementary Document	Uploaded 2015-06-25	Available
Stafford Act Booklet 042213, (Sec 417).pdf	Supplementary Document	Uploaded 2015-06-25	Available
44 CFR Part 206, Subpart K—Community Disaster Loans.pdf	Supplementary Document	Uploaded 2015-06-25	Available
42 U.S.C. Sec 5184.pdf	Supplementary Document	Uploaded 2015-06-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
228942	CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION	Form	New	CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION
21182	Certification of Eligibility for Community Disaster Loans	Form	Modified	CERTIFICATION OF ELIGIBILTY FOR COMMUNITY DISASTER LOANS
189000	Letter of Application		Unchanged
188999	Annual Financial Report		Removed
188998	Application for Community Disaster Loan	Form	Removed	Application for Community Disaster Loan
188997	Local Government Resolution –Collateral Security	Form	Modified	LOCAL GOVERNMENT RESOLUTION - COLLATERAL SECURITY
188996	Promissory Note	Form	Modified	PROMISSARY NOTE

ICR Details

OMB Control No: 1660-0083	ICR Reference No: 201711-1660-002
Status: Historical Active	Previous ICR Reference No: 201506-1660-002
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Application for Community Disaster Loan (CDL) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 11/14/2017
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/14/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/14/2017
Terms of Clearance: This emergency request is approved with the understanding that the changes to the terms and conditions of the promissory note applies to the no greater than $31 million loan note to USVI’s WAPA for its urgent funding needs. The agency will come back to OIRA for any further loans with terms and conditions that differ from the standard promissory note under this program.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	6 Months From Approved	11/30/2018
Responses	256	0	300
Time Burden (Hours)	899	0	975
Cost Burden (Dollars)	0	0	0

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Abstract: The Loan Package for the Community Disaster Loan Program provides States, Local and Tribal governments that have suffered substantial loss of tax or other revenues as a result of a major disaster or emergency, the opportunity to obtain financial assistance in order to perform their governmental functions. Local governments can submit a loan package for the Community Disaster Loan Program. This loan must be justified on the basis of need and actual expenses.

Emergency Justfication: The Federal Emergency Management Agency (FEMA) seeks emergency approval for the revision of OMB Collection 1660-0083, Application for Community Disaster Loan (CDL) Program, for the U.S. Virgin Islands. It is vital this collection be revised and implemented by November 9, 2017. In accordance with the Paperwork Reduction Act (PRA) and the Office of Management and Budget’s (OMB) implementing regulations at 5 C.F.R. § 1320.13: (1) this information is essential to the mission of the agency, (2) this information is necessary prior to the expiration of time periods established under PRA, (3) public harm is reasonably likely to result if normal clearance procedures are followed, and (4) an unanticipated event has occurred.

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Authorizing Statute(s): US Code: 42 USC 5184 Name of Law: Community Disaster Loans
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Annual Financial Report
Application for Community Disaster Loan	FEMA Form 090-0-2	Application for Community Disaster Loan
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION	FEMA Form 112-0-3C	CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION
Certification of Eligibility for Community Disaster Loans	FEMA Form 090-0-1	CERTIFICATION OF ELIGIBILTY FOR COMMUNITY DISASTER LOANS
Letter of Application
Local Government Resolution –Collateral Security	FEMA Form 085-0-1	LOCAL GOVERNMENT RESOLUTION - COLLATERAL SECURITY
Promissory Note	FEMA Form 116-0-1	PROMISSARY NOTE

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	256	300	0	6	-50	0
Annual Time Burden (Hours)	899	975	0	-26	-50	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: 1. We have removed FF090-0-2 “Application for Community Disaster Loan” because it is no longer being utilized to capture this information. 2. Grant/loan laws requires gathering data on FF112-0-3C “Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; And Drug-Free Workplace Requirements” which used to belong to OMB Collection 1660-0025. That collection has transitioned to a database for collecting the information captured in said form and has requested eliminating this form from their collection. Our OMB Collection 1660-0083 requests adopting this form into our forms collection. 3. A “Grammatical change” was made to FEMA Form 116-0-1 replacing “State” with “Component Unit” in order to make the form universal for use with the United States Territories of the Virgin Islands and Puerto Rico. Additional term pages were added to the form to allow for additional terms of the loan to be outlined as needed for the territories receiving Disaster Loan assistance from FEMA and the US Treasury.

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Annual Cost to Federal Government: $1,012,415

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/14/2017

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