Information Collection

Fire Grant Application Completion Questionnaire

IC 186998 under ICR 200810-1660-004 · OMB 1660-0054.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0054 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 080-12 Fire Grant Application Completion Questionnaire	Form and Instruction
FEMA Form 080-12 Fire Grant Application Completion Questionnaire FORM 12 VerificationSurveyScreenshots.doc	Form and Instruction

IC Title:

Fire Grant Application Completion Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 080-12	Fire Grant Application Completion Questionnaire	FORM 12 VerificationSurveyScreenshots.doc		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.