Information Collection

Requests for Special Priorities Assistance

IC 241784 under ICR 202005-1660-001 · OMB 1660-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0149 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 009-0-142 Requests for Special Priorities Assistance	Form and Instruction
009-0-142 REQUEST FOR SPECIAL PRIORITIES ASSISTANCE FEMA Form 009-0-142 Draft version 4-29-2020.pdf	Form and Instruction

IC Title:

Requests for Special Priorities 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	009-0-142	REQUEST FOR SPECIAL PRIORITIES ASSISTANCE	FEMA Form 009-0-142 Draft version 4-29-2020.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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	20	20
Annual IC Time Burden (Hours)	10	10
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.