Information Collection

JFL Hospital and Medical Center

IC 229519 under ICR 201907-1660-002 · OMB 1660-0083.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0083 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 116-0-1a JFL Hospital and Medical Center	Form and Instruction
USVI CDL JFL Note Mod 1.doc	Other-Amendment
FEMA Form 116-0-1a JFL Hospital and Medical Center - Promissary Note FEMA Form 116-0-1a JFL Hospital and Medical Center Final version 1-2-2018.pdf	Form and Instruction

IC Title:

JFL Hospital and Medical Center

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

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	FEMA Form 116-0-1a	JFL Hospital and Medical Center - Promissary Note	FEMA Form 116-0-1a JFL Hospital and Medical Center Final version 1-2-2018.pdf		No		Paper Only
Other-Amendment			USVI CDL JFL Note Mod 1.doc		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title: DHS/FEMA-009 - Hazard Mitigation Disaster Public Assistance and Disaster Loan Programs

FR Citation: 79 FR 16015

Number of Respondents: 2

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	Previously Approved
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	8	8
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.