Information Collection

Surplus Federal Real Property Application for Public Benefit Conveyance

IC 21177 under ICR 202212-1660-002 · OMB 1660-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-119-F Surplus Federal Real Property Application for Public Benefit Conveyance	Form and Instruction
FEMA Form FF-119-F Surplus Federal Real Property Application for Public Ben FEMA Form FF-119-FY-22-133 (formerly 119-0-1)_draft.pdf [email protected]	Form and Instruction
FEMA Form FF-119-F Surplus Federal Real Property Application for Public Ben FEMA Form FF-119-FY-22-133 (formerly 119-0-1)_draft.pdf [email protected]	Form and Instruction

IC Title:

Surplus Federal Real Property Application for Public Benefit Conveyance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 41 CFR 102-75.750-815 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form FF-119-FY-22-133 (formerly 119-0-1)	Surplus Federal Real Property Application for Public Benefit Conveyance	FEMA Form FF-119-FY-22-133 (formerly 119-0-1)_draft.pdf	[email protected]	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: DHS/All-F002 Department of Homeland Security Mailing and Other Lists System of Records

FR Citation: 73 FR 71659

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15	0	15
Annual IC Time Burden (Hours)	68	-7	75
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.