Information Collection

Request for Fire Management Assistance Declaration

IC 41302 under ICR 202108-1660-005 · OMB 1660-0058.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0058 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-21-166 Request for Fire Management Assistance Declaration	Form and Instruction
FF-104-FY-21-166 Request for FIre Management Assistance Declaration FF-104-FY-21-166 (formerly 078-0-1).pdf	Form and Instruction

IC Title:

Request for Fire Management Assistance Declaration

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 204

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	FF-104-FY-21-166	Request for FIre Management Assistance Declaration	FF-104-FY-21-166 (formerly 078-0-1).pdf		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title: DHS/FEMA-004 Grant Management Information Files System of Records

FR Citation: 74 FR 39705

Number of Respondents: 25

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
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
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.