Information Collection

Application for Federal Assistance

IC 209098 under ICR 201309-1660-003 · OMB 1660-0025.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.