FEDERAL CRIME INSURANCE PROGRAM

ICR 199003-3067-002

OMB: 3067-0031

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
151865 Migrated
ICR Details
3067-0031 199003-3067-002
Historical Active 198903-3067-009
FEMA
FEDERAL CRIME INSURANCE PROGRAM
Revision of a currently approved collection   No
Regular
Approved without change 05/02/1990
Retrieve Notice of Action (NOA) 03/23/1990
  Inventory as of this Action Requested Previously Approved
09/30/1991 09/30/1991 03/31/1990
5,900 0 6,636
3,890 0 4,389
0 0 0

APPLICATION FORMS ARE USED BY HOMEOWNERS, TENANTS, AND BUSINESS OWNERS TO OBTAIN AFFORDABLE CRIME INSURANCE UNDER THE FEDERALLY-SUBSIDIZED FEDERAL CRIME INSURANCE PROGRAM. INSUREDS ARE REQUIRED TO SUBMIT PROOF OF LOSS OF FORMS TO BE PAID FOR FINANCIAL LOSSES FROM BURGLARY AND ROBBERY WHICH ARE COVERED BY THEIR POLICIES.

None
None


No

1
IC Title Form No. Form Name
FEDERAL CRIME INSURANCE PROGRAM FEMA 81-12, 81-14,, 81-46, 81-51

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,900 6,636 0 -736 0 0
Annual Time Burden (Hours) 3,890 4,389 0 -499 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/23/1990


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