Information Collection

Quarterly Compliance Report – State or >$5M Allocation

IC 253086 under ICR 202507-1505-004 · OMB 1505-0269.

Documents and Forms

Document Name Document Type
$5M Allocation Form and Instruction
Quarterly Report Quarterly Compliance Report – State or >$5M Allocation Form and Instruction
Quarterly Report HAF_QuarterlyReportUserGuide 050625 Working Draft v2.docx Form and Instruction
Quarterly Report HAF_QuarterlyReportUserGuide 050625 Working Draft v2.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Quarterly Compliance Report â State or >$5M Allocation	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	n/a	Quarterly Report	HAF_QuarterlyReportUserGuide 050625 Working Draft v2.docx		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: 64	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	320	52	268
Annual IC Time Burden (Hours)	1,280	208	1,072
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.

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