Information Collection

Declaration and Release (English)

IC 241599 under ICR 202004-1660-003 · OMB 1660-0103.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0103 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 009-0-3 Declaration and Release (English)	Form and Instruction
009-0-3 Declaration and Release (English) FEMA FORM 009-0-3 (English).pdf	Form and Instruction

IC Title:

Declaration and Release (English)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	009-0-3	Declaration and Release (English)	FEMA FORM 009-0-3 (English).pdf		Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,239

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,239	1,239
Annual IC Time Burden (Hours)	99	99
Annual IC Cost Burden (Dollars)	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.