Request for Fire Management Assistance Declaration

Fire Management Assistance Grant (FMAG) Program

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.