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Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use
FEMA's Excess Federal Real Property Program-Public Benefit Conveyance Application
OMB: 1660-0080
IC ID: 21177
OMB.report
DHS/FEMA
OMB 1660-0080
ICR 201306-1660-001
IC 21177
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0080 can be found here:
2023-02-16 - Revision of a currently approved collection
2020-03-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FEMA Form 119-0-1
Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use
Form and Instruction
FEMA Form 119-0-1 Application for Surplus Federal Real Property Public Ben
FEMA Form 119-0-1.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
41 CFR 102-75.750-815 (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
Form and Instruction
FEMA Form 119-0-1
Application for Surplus Federal Real Property Public Benefit Conveyance and BRAC Program for Emergency Management Use
FEMA Form 119-0-1.pdf
Yes
Yes
Fillable Printable
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:
50
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
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
50
0
0
0
0
50
Annual IC Time Burden (Hours)
200
0
0
0
0
200
Annual IC Cost Burden (Dollars)
0
0
0
0
0
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.