Public Assistance Program

ICR 202109-1660-002

OMB: 1660-0017

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1660-0017 can be found here:

Forms and Documents

Document Name	Status
Form FEMA Form 009-0-49 Request for Public Assistance Form	Unchanged
Form FEMA Template 104- FEMA Template 104-FY-21-100 Equitable COVID-19 Response and Recovery: Vaccine Administration Information Form and Instruction	Unchanged
Form 009-0-141 FAC-TRAX System Form	Unchanged
Form FEMA Form 009-0-91 Project Worksheet Photo Sheet Form	Unchanged
Form FEMA Form 009-0-91 Project Worksheet Maps and Sketches Sheet Form	Unchanged
Form FEMA Form 009-0-91 Project Worksheet Cost Estimate Continuation Sheet and Cost Overruns Form	Unchanged
Form FEMA Form 009-0-91 Project Work Sheet Damage Description and Scope of Work Form	Unchanged
Form FEMA Form 009-0-12 Force Account Equipment Summary Record Form	Unchanged
Form FEMA Form 009-0-12 Contract Work Summary Record Form	Unchanged
Form FEMA Form 009-0-12 Rented Equipment Summary Record Form	Unchanged
Form FEMA Form 009-0-12 Materials Summary Record Form	Unchanged
Form FEMA Form 009-0-12 Force Account Labor Summary Form	Unchanged
Form FEMA Form 009-0-12 PNP Facility Questionnaire Form	Unchanged
Form FEMA Form 009-0-12 Applicant's Benefits Calculation Worksheet Form	Unchanged
Form FEMA Form 009-0-12 Special Considerations Questions Form	Unchanged
Form FEMA Form 009-0-91 Project Worksheet Form and Instruction	Unchanged
Form FEMA Form 009-0-11 Progress Report Form and Instruction	Unchanged
1660-0017 Final Rule Supporting Statement A 2021 09 09.docx Supporting Statement A	2021-09-09
Equitable COVID-19 Response and Recovery Job Aid 3-15-21.pdf Supplementary Document	2021-03-30
stafford_act.pdf Supplementary Document	2016-09-02
CFR-2011-title44-vol1-part206.pdf Supplementary Document	2016-09-01

IC Document Collections

IC ID	Document Title	Status
41294	Request for Public Assistance Form	Unchanged
247457	FEMA Template 104-FY-21-100 Equitable COVID-19 Response and Recovery: Vaccine Administration Information Form and Instruction	Unchanged
223320	FAC-TRAX System Form	Unchanged
206469	Project Worksheet Photo Sheet Form	Unchanged
206468	Project Worksheet Maps and Sketches Sheet Form	Unchanged
206467	Project Worksheet Cost Estimate Continuation Sheet and Cost Overruns Form	Unchanged
206466	Project Work Sheet Damage Description and Scope of Work Form	Unchanged
191941	State Administrative Plan and Amendments	Unchanged
190424	Request for Arbitration and Recommendation from Hurricanes Katrina or Rita	Unchanged
190419	Request for Appeals and Recommendation	Unchanged
185911	Force Account Equipment Summary Record Form	Unchanged
185910	Contract Work Summary Record Form	Unchanged
185909	Rented Equipment Summary Record Form	Unchanged
185908	Materials Summary Record Form	Unchanged
185907	Force Account Labor Summary Form	Unchanged
185906	PNP Facility Questionnaire Form	Unchanged
185903	Applicant's Benefits Calculation Worksheet Form	Unchanged
185901	Special Considerations Questions Form	Unchanged
185900	Project Worksheet Form and Instruction	Unchanged
185897	Progress Report Form and Instruction	Unchanged

ICR Details