FEMA Form 009-0-111A Quarterly Reporting Tool

Hazard Mitigation Grant Program Application and Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0076 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 009-0-11 FEMA Form 009-0-111A Quarterly Reporting Tool Form
Final_Instructions FEMA Form 009-0-111A 080713 (2).docx Instruction
FEMA Form 009-0-11 HMGP Quarterly Progress Reports Final FEMA Form 009-0-111A Quarterly Progress Reports CGRchanges 08072013 doc.xlsx Form

Information Collection (IC) Details

IC Title:	FEMA Form 009-0-111A Quarterly Reporting Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.438(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 009-0-111A	HMGP Quarterly Progress Reports	Final FEMA Form 009-0-111A Quarterly Progress Reports CGRchanges 08072013 doc.xlsx		Yes	No	Fillable Printable
Instruction			Final_Instructions FEMA Form 009-0-111A 080713 (2).docx		Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: Assistance Grant Program	FR Citation: 77 FR 17783

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	258	258
Annual IC Time Burden (Hours)	12,900	12,900
Annual IC Cost Burden (Dollars)	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.