LOCAL LEVEL CIVIL RIGHTS COMPLIANCE CHECKLIST

ICR 199309-3067-004

OMB: 3067-0177

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
152260 Migrated
ICR Details
3067-0177 199309-3067-004
Historical Active 199005-3067-001
FEMA
LOCAL LEVEL CIVIL RIGHTS COMPLIANCE CHECKLIST
Revision of a currently approved collection   No
Regular
Approved without change 11/23/1993
Retrieve Notice of Action (NOA) 09/02/1993
  Inventory as of this Action Requested Previously Approved
11/30/1996 11/30/1996 11/30/1993
675 0 675
1,350 0 1,360
0 0 0

NEEDED TO ASSESS COMPLIANCE WITH CIVIL RIGHTS STATUTES. COVERS: WARNING AND COMMUNICATIONS, EVACUATION AND SHELTER, AND EMERGENCY OPERATING CENTERS. WILL PROVIDE INVENTORY OF ACCOMPLISHMENTS AND DEFICIENCIES, ENABLING FEMA TO OFFER TECHNICAL ASSISTANCE WHERE APPROPRIATE.

None
None


No

1
IC Title Form No. Form Name
LOCAL LEVEL CIVIL RIGHTS COMPLIANCE CHECKLIST FEMA 14-4

  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 675 675 0 0 0 0
Annual Time Burden (Hours) 1,350 1,360 0 0 -10 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
09/02/1993


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