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OMB Control No: 3245-0136	ICR Reference No: 202609-3245-001
Status: Received in OIRA	Previous ICR Reference No: 202103-3245-006
Agency/Subagency: SBA	Agency Tracking No:
Title: Disaster Survey Worksheet
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/11/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	2,720	0
Time Burden (Hours)	227	0
Cost Burden (Dollars)	4,434	0

Annual Cost to Federal Government: $24,330

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Tamara Edge 202 205-6674 tamara.edge@sba.gov

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