Information Collection

Facility Access Request

IC 242405 under ICR 202006-1660-007 · OMB 1660-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0151 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 121-3-1-3A Facility Access Request	Form and Instruction
Form 121-3-1-3A Facility Access Request Facility Access Request	Form and Instruction
Form 121-3-1-3B Facility Access Request 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
121-3-1-3A 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
121-3-1-3B Facility Access Request FEMA Form 121-3-1-3B Draft version 5-3-2020.pdf	Form and Instruction

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:

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	121-3-1-3A				Yes	Yes	Fillable Printable
Form and Instruction	121-3-1-3B				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 %

table that charts list of burden
	Approved	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

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.

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