Information Collection

CERTS Compliance Report

IC 250830 under ICR 202112-1505-004 · OMB 1505-0273.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0273 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CERTS Compliance Report	Form and Instruction
CERTS Compliance Reports Final Format of CERTS Quarterly Report_Control Number_Revised 2021 12 08.pdf	Form and Instruction
CERTS Compliance Reports Final Format of CERTS Quarterly Report_Control Number_Revised 2021 12 08.pdf	Form and Instruction

IC Title:

CERTS Compliance Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	n/a	CERTS Compliance Reports	Final Format of CERTS Quarterly Report_Control Number_Revised 2021 12 08.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,460

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,840	5,840
Annual IC Time Burden (Hours)	8,760	8,760
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.