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Narrative Statement Workbook, Urban Search Rescue Response System
National Urban Search and Rescue Grant Program
OMB: 1660-0073
IC ID: 21168
OMB.report
DHS/FEMA
OMB 1660-0073
ICR 202205-1660-001
IC 21168
( )
Documents and Forms
Document Name
Document Type
Form FEMA Form FF-104-F
Narrative Statement Workbook, Urban Search Rescue Response System
Form and Instruction
FEMA Form FF-104-F Narrative Statement Workbook
FF-104-FY-21-174.xlsm
Form and Instruction
FEMA Form FF-104-F Narrative Statement Workbook
FF-104-FY-21-174.xlsm
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Narrative Statement Workbook, Urban Search Rescue Response System
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 and Instruction
FEMA Form FF-104-FY-21-174 (formerly 089-0-10)
Narrative Statement Workbook
FF-104-FY-21-174.xlsm
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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
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
28
0
0
0
0
28
Annual IC Time Burden (Hours)
112
0
0
0
0
112
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.