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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Applicant Impact Survey
New
60000
7002
0
Form and Instruction
FEMA Form FF-104-FY-22-235
Applicant Impact Survey
Applicant's Benefits Calculation Worksheet
Modified
1920
960
0
Form and Instruction
FEMA Form FF-104-FY-21-135 (formerly 009-0-128)
Applicant's Benefits Calculation Worksheet
Contract Work Summary
Modified
6000
1100
0
Form and Instruction
FEMA Form FF-104-FY-21-140 (formerly 009-0-126)
Contract Work Summary
Damage Information
New
72000
90000
0
Form and Instruction
FEMA Form FF-104-FY-22-245
Damage Information
Donated Labor Sign-in
New
600
40
0
Form and Instruction
FEMA Form FF-104-FY-22-237
Donated Labor Sign-in
Equitable Vaccine Administration Information Submission Template
Modified
13680
6840
0
Form and Instruction
FEMA Template 104-FY-21-100
Equitable Vaccine Response and Recovery: Vaccine Administration Information
FAC-TRAX System
Removed
0
0
0
Form
009-0-141
FAC-TRAX System
Force Account Equipment Summary
Modified
1920
480
0
Form and Instruction
FEMA Form FF-104-FY-21-141 (formerly 009-0-127)
Force Account Equipment Summary Record
Force Account Labor Summary Record
Modified
1920
960
0
Form and Instruction
FEMA Form FF-104-FY-21-137 (formerly 009-0-123)
Force Account Labor Summary Record
Impact List
New
60000
30000
0
Form and Instruction
FEMA Form FF-104-FY-22-236
Impact List
Materials Summary
Modified
1920
480
0
Form and Instruction
FEMA Form FF-104-FY-21-138 (formerly 009-0-124)
Materials Summary Record
Organization Profile
New
60000
18000
0
Form and Instruction
FEMA Form FF-104-FY-22-233
Organization Profile
PNP Facility Questionnaire
Removed
0
0
0
Form
FEMA Form 009-0-121
PNP Facility Questionaire
Instruction
Pre-Approval Request
New
30000
15000
0
Form and Instruction
FEMA Form FF-104-FY-22-238
Pre-Approval Request
Project Application for Building Code and Floodplain Management and Enforcement
New
300
70
0
Form and Instruction
FEMA Form FF-104-FY-22-243
Project Application for Building Code and Floodplain Management Administration and Enforcement
Project Application for COVID-19
New
3000
1100
0
Form and Instruction
FEMA Form FF-104-FY-22-241
Project Application for COVID-19
Project Application for Debris Removal
New
60000
45000
0
Form and Instruction
FEMA Form FF-104-FY-22-239
Project Application for Debris Removal
Project Application for Emergency Protective Measures
New
60000
45000
0
Form and Instruction
FEMA Form FF-104-FY-22-240
Project Application for Emergency Protective Measures
Project Application for Infrastructure Restoration
New
72000
54000
0
Form and Instruction
FEMA Form FF-104-FY-22-242
Project Application for Infrastructure Restoration
Project Application for Management Costs
New
60000
13002
0
Form and Instruction
FEMA Form FF-104-FY-22-244
Project Application for Management Costs
Project Work Sheet Damage Description and Scope of Work
Removed
0
0
0
Form
FEMA Form 009-0-91A
Project Worksheet - Damage Description and Scope of Work Continuation Sheet
Project Worksheet
Removed
0
0
0
Form and Instruction
FEMA Form 009-0-91
Project Worksheet
Project Worksheet Cost Estimate Continuation Sheet and Cost Overruns
Removed
0
0
0
Form
FEMA Form 009-0-91B
Project Worksheet-Cost Estimate Continuation Sheet
Project Worksheet Maps and Sketches Sheet
Removed
0
0
0
Form
FEMA Form 009-0-91C
Project Worksheet - Maps and Sketches Sheet
Project Worksheet Photo Sheet
Removed
0
0
0
Form
FEMA Form 009-0-91D
Project Worksheet-Photo Sheet
Quarterly Progress Report
Modified
240
144
0
Form and Instruction
FEMA Form FF-104-FY-21-132 (formerly 009-0-111)
Quarterly Progress Report
Recipient Incident Information
New
60
5
0
Form and Instruction
FEMA Form FF-104-FY-22-234
Recipient Incident Information
Rented Equipment Summary
Modified
1920
960
0
Form and Instruction
FEMA Form FF-104-FY-21-139 (formerly 009-0-125)
Rented Equipment Summary Record
Request for Appeals and Recommendation
Unchanged
504
1512
0
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita
Unchanged
20
60
0
Request for Public Assistance
Modified
60000
7002
0
Form and Instruction
FEMA Form FF-104-FY-21-131 (formerly 009-0-49)
Request for Public Assistance
Special Considerations Questions
Removed
0
0
0
Form
FEMA Form 009-0-120
Special Consideration Questions
State Administrative Plan
Modified
60
36
0
Form and Instruction
FEMA Form FF-104-FY-22-249
State Administrative Plan
Time Extension Request
New
7200
2880
0
Form and Instruction
FEMA Form FF-104-FY-22-248
Time Extension
Tribe Administrative Plan
New
5
2
0
Form and Instruction
FEMA Form FF-104-FY-22-250
Tribal Administrative Plan
Total burden requested under this ICR:
635269
341635
0
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