Disaster Survey Worksheet

OMB 3245-0136

SBA is required to survey affected disaster areas within a state upon request by the Governor of that state to determine if there is sufficient damage to warrant a disaster declaration. Information is obtained from individuals, businesses, and public officials.

The latest form for Disaster Survey Worksheet expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SBA Form 987 Disaster Survey Worksheet Form and Instruction
3245-0136 15 U.S.C636 (b) 3-01-2021.pdf Supplementary Document
3245-0136 13 CFR 123.3(a) 3-1-2021.docx Supplementary Document
3245-0136 Supporting Statement 3-1-2021.docx Supporting Statement A
Disaster Survey Worksheet Form and Instruction

All Historical Document Collections

202103-3245-006 Approved without change	Extension without change of a currently approved collection	2021-03-09
201804-3245-004 Approved without change	Extension without change of a currently approved collection	2018-04-24
201507-3245-001 Approved without change	Extension without change of a currently approved collection	2015-07-01
201212-3245-002 Withdrawn and continue	Extension without change of a currently approved collection	2012-12-06
201209-3245-002 Approved without change	Extension without change of a currently approved collection	2012-09-27
201001-3245-001 Approved without change	Extension without change of a currently approved collection	2010-01-13
200701-3245-003 Approved with change	Revision of a currently approved collection	2007-01-25
200402-3245-001 Approved without change	Extension without change of a currently approved collection	2004-02-04
200103-3245-001 Approved without change	Revision of a currently approved collection	2001-03-23
199808-3245-001 Approved without change	Extension without change of a currently approved collection	1998-08-13
199508-3245-002 Approved without change	Extension without change of a currently approved collection	1995-08-22
199206-3245-004 Approved without change	Extension without change of a currently approved collection	1992-06-09
198906-3245-001 Approved without change	Extension without change of a currently approved collection	1989-06-02
198905-3245-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-05-02
198904-3245-015 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-07
198904-3245-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-06
198607-3245-004 Approved without change	Extension without change of a currently approved collection	1986-07-15
198307-3245-016 Approved without change	New collection (Request for a new OMB Control Number)	1983-07-22