Enviornment and Historic Preservation Certifications

Community Rating System (CRS) Program-Application Worksheets and Commentary

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0022 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-35 Enviornment and Historic Preservation Certifications Form and Instruction
FEMA Form 086-0-35 Environmental and Historic Preservation Certifications FEMA Form 086-0-35B OMB Draft Version 3-25-2020.pdf crsresources.org/joining-the-crs/quick-check/ Form and Instruction

Information Collection (IC) Details

IC Title:	Enviornment and Historic Preservation Certifications	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	FEMA Form 086-0-35B	Environmental and Historic Preservation Certifications	FEMA Form 086-0-35B OMB Draft Version 3-25-2020.pdf	http://crsresources.org/joining-the-crs/quick-check/	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	120	-9	129
Annual IC Time Burden (Hours)	192	-14	206
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.