Information Collection

Disaster Survey Worksheet

IC 35689 under ICR 202609-3245-001 · OMB 3245-0136.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 987 Disaster Survey Worksheet Disaster Survey Worksheet	Form and Instruction
987 Disaster Survey Worksheet Form 987 - Disaster Survey Worksheet (Final).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 13 CFR 123

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	987				Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title: SBA 20 -- Disaster Loans Case Files

FR Citation: 86 FR 64979

Number of Respondents: 2,720

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,720	240	2,480
Annual IC Time Burden (Hours)	227	21	206
Annual IC Cost Burden (Dollars)	4,434	962	3,472

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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