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Disaster Assistance Registration; Applicant Statement/ Authorization; Declaration of Applicant
Disaster Assistance Registration; Applicant Statement/ Authorization; Declaration of Applicant
OMB: 3067-0009
IC ID: 31972
OMB.report
FEMA
OMB 3067-0009
ICR 199903-3067-003
IC 31972
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3067-0009 can be found here:
2002-07-15 - No material or nonsubstantive change to a currently approved collection
1999-10-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Disaster Assistance Registration; Applicant Statement/ Authorization; Declaration of Applicant
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
90-69E
Yes
Yes
Form
FEMA-FORM-90-69
Yes
Yes
Form
90-69B
Yes
Yes
Form
90-60C
Yes
Yes
Form
90-69D
Yes
Yes
Form
90-69A
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
540,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
63 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
540,000
0
540,000
0
0
0
Annual IC Time Burden (Hours)
146,520
0
146,520
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.