Information Collection

Final Quarterly Compliance Report

IC 276812 under ICR 202507-1505-004 · OMB 1505-0269.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final Quarterly Compliance Report	Form and Instruction
Quarterly Report Final Quarterly Compliance Report	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

IC Title:

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				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: 360

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	1,620	1,620
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.

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