Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet

National Urban Search and Rescue Grant Program

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet Form
FEMA Form FF-104-F Urban Search and Rescue Response System Task Force Self FF-104-FY-21-177.xlsx Form
FEMA Form FF-104-F Urban Search and Rescue Response System Task Force Self FF-104-FY-21-177.xlsx Form

Information Collection (IC) Details

IC Title:	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet	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 208

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-104-FY-21-177 (formerly 089-0-14)	Urban Search and Rescue Response System Task Force Self Evaluation Scoresheet	FF-104-FY-21-177.xlsx		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	56	56
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.