Application for Federal Assistance

FEMA Emergency Preparedness and Response Directorate Grants Administration Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0025 can be found here:

Documents and Forms

Document Name Document Type
Form 112-0-10 Application for Federal Assistance Form and Instruction
112-0-10 FEMA GRANTS APPLICATION FEMA Form 112-0-10.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Federal Assistance	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	112-0-10	FEMA GRANTS APPLICATION	FEMA Form 112-0-10.pdf		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: 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	3,587	3,587
Annual IC Time Burden (Hours)	2,690	2,690
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.