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PNP Facility Questionnaire
Public Assistance Program
OMB: 1660-0017
IC ID: 185906
OMB.report
DHS/FEMA
OMB 1660-0017
ICR 202109-1660-002
IC 185906
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0017 can be found here:
2024-05-17 - Revision of a currently approved collection
2023-11-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FEMA Form 009-0-12
PNP Facility Questionnaire
Form
FEMAForm009-0-121_PNP.pdf
Instruction
FEMAForm009-0-121_PNP.pdf
Instruction
FEMA Form 009-0-12 PNP Facility Questionaire
FEMAForm009-0-121_PNP.pdf
portal.fema.gov
Form
FEMA Form 009-0-12 PNP Facility Questionaire
FEMAForm009-0-121_PNP.pdf
portal.fema.gov
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PNP Facility Questionnaire
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
44 CFR 206
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FEMA Form 009-0-121
PNP Facility Questionaire
FEMAForm009-0-121_PNP.pdf
https://portal.fema.gov
Yes
Yes
Fillable Printable
Instruction
FEMAForm009-0-121_PNP.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Repair and Restore
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
56
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,264
0
0
0
0
5,264
Annual IC Time Burden (Hours)
2,632
0
0
0
0
2,632
Annual IC Cost Burden (Dollars)
0
0
0
0
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.