Facility Access Request

Documents and Forms

Document Name Document Type
Form 121-3-1-3A Facility Access Request Form and Instruction
121-3-1-3A Facility Access Request FEMA Form 121-3-1-3A Draft version 4-22-2020.pdf Form and Instruction
121-3-1-3B Facility Access Request FEMA Form 121-3-1-3B Draft version 5-3-2020.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Facility Access Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

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	121-3-1-3A	Facility Access Request	FEMA Form 121-3-1-3A Draft version 4-22-2020.pdf		Yes	Yes	Fillable Printable
Form and Instruction	121-3-1-3B	Facility Access Request	FEMA Form 121-3-1-3B Draft version 5-3-2020.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,500	20,500
Annual IC Time Burden (Hours)	3,485	3,485
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.