View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	FEMA Form 086-0-27, Overview and Concurrence Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Part 65 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Instructions for Completing the Application Forms for CLOMR & LOMR.pdf	http://www.fema.gov/plan/prevent/fhm/frm_form.shtm	No		Printable Only
Form and Instruction	FEMA Form 086-0-27	Overview & Concurrence Form	FEMA Form 086-0-27 OMB Draft version 8-21-2017.pdf	http://www.fema/gov/library/viewRecord.do?id=1493	Yes	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	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	1,300	0	0	200	1,100	0
Annual IC Time Burden (Hours)	2,275	0	975	200	1,100	0
Annual IC Cost Burden (Dollars)	1,300,000	0	0	200,000	1,100,000	0

Documents for IC

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.