Information Collection Request

Application for Community Disaster Loan (CDL) Program

ICR 201712-1660-001 · OMB 1660-0083 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FEMA Form 116-0-1c Government of US Virgin Island Promissory Note Form and Instruction New Available
Form FEMA Form 116-0-1b RLS Hospital and Medical Center Form and Instruction New Available
Form FEMA Form 116-0-1a JFL Hospital and Medical Center - Promissory Note Form and Instruction New Available
Form FEMA Form 112-0-3C CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION Form Unchanged Available
Form FEMA Form 090-0-1 CERTIFICATION OF ELIGIBILTY FOR COMMUNITY DISASTER LOANS Form Unchanged Repair queued
Form FEMA Form 085-0-1 LOCAL GOVERNMENT RESOLUTION - COLLATERAL SECURITY Form Unchanged Available
Form FEMA Form 116-0-1 PROMISSARY NOTE Form Unchanged Available
1660-0083 Emergency Memo.pdf Supplementary Document Uploaded 2017-12-21 Available
Round2 Supporting Statement A 1660-0083 Part A (GVI-JFL-RSMC) 2017.11.30.docx Supporting Statement A Uploaded 2017-12-20 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
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 IDCollectionTypeStatusForm
229521 Government of Virgin Island - Promissory Note Form and Instruction NewGovernment of US Virgin Island Promissory Note
229520 RLS Hospital and Medical Center Form and Instruction NewRLS Hospital and Medical Center
229519 JFL Hospital and Medical Center Form and Instruction NewJFL Hospital and Medical Center - Promissory Note
228942 CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION Form UnchangedCERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION
21182 Certification of Eligibility for Community Disaster Loans Form UnchangedCERTIFICATION OF ELIGIBILTY FOR COMMUNITY DISASTER LOANS
189000 Letter of Application Unchanged
188997 Local Government Resolution –Collateral Security Form UnchangedLOCAL GOVERNMENT RESOLUTION - COLLATERAL SECURITY
188996 Promissory Note Form UnchangedPROMISSARY NOTE

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2018 6 Months From Approved 02/28/2018
259 0 256
905 0 899
0 0 0





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION FEMA Form 112-0-3C
Certification of Eligibility for Community Disaster Loans FEMA Form 090-0-1
Government of Virgin Island - Promissory Note FEMA Form 116-0-1c
JFL Hospital and Medical Center FEMA Form 116-0-1a
Letter of Application
Local Government Resolution –Collateral Security FEMA Form 085-0-1
Promissory Note FEMA Form 116-0-1
RLS Hospital and Medical Center FEMA Form 116-0-1b

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 259 256 0 3 0 0
Annual Time Burden (Hours) 905 899 0 6 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No