Information Collection

FEMA Form 009-0-111A Quarterly Reporting Tool

IC 207729 under ICR 201711-1660-005 · OMB 1660-0076.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

FEMA Form 009-0-111A Quarterly Reporting Tool

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.438(c)

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	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: 59

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	271	13	258
Annual IC Time Burden (Hours)	13,550	650	12,900
Annual IC Cost Burden (Dollars)	0	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.