Disaster Home Loan Application

Forms and Documents

Document Name	Status
Form SBA Form 5C Disaster Home Loan Application Form and Instruction	Modified
3245-0018 Small Business Act 7-28-2021.pdf Supplementary Document	2021-07-29
3245-0018 SOP 50 30 9 7-28-2021.pdf Supplementary Document	2021-07-29
3245-0018 Supporting Statement - Form 5C FINAL (7-28-21).docx Supporting Statement A	2021-07-29

IC Document Collections

IC ID	Document Title	Status
35603	Disaster Home Loan Application Form and Instruction	Modified

ICR Details

OMB Control No: 3245-0018	ICR Reference No: 202107-3245-003
Status: Received in OIRA	Previous ICR Reference No: 201804-3245-005
Agency/Subagency: SBA	Agency Tracking No:
Title: Disaster Home Loan Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/29/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2021
Responses	117,738	67,345
Time Burden (Hours)	147,173	84,181
Cost Burden (Dollars)	2,131,058	0

---

Abstract: Application for benefits (loan) used to determine eligibility and credit worthiness of individual victims who seek Federal assistance in a declared disaster. Respondents are disaster victims seeking disaster assistance.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 16440	03/29/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 40221	07/27/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Disaster Home Loan Application	SBA Form 5C	Disaster Home/Sole Proprietor

---

ICR Summary of Burden

	Total Request	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	117,738	67,345	0	50,393	0	0
Annual Time Burden (Hours)	147,173	84,181	0	62,992	0	0
Annual Cost Burden (Dollars)	2,131,058	0	0	2,131,058	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: No

Burden Reduction Due to:

Short Statement: Burden and cost information increased with this submission as compared to the last submission due to the increase in the number of applications received and using a 5-year average as compared a 3-year average, and the methodology for calculation was adjusted (adding fringe benefits, reducing overhead for printing).

---

Annual Cost to Federal Government: $8,258,615

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.     No

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.     No

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? No

---

Common Form ICR:  No

---

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: 07/29/2021

---