Information Collection

Requests for Special Priorities Assistance (Managerial Respondents)

IC 241784 under ICR 202309-1660-006 · OMB 1660-0149.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-112-F Requests for Special Priorities Assistance (Managerial Respondents)	Form and Instruction
FEMA Form FF-112-F Request for Special Priorities Assistance FEMA Form FF-112-FY-23-100 (formerly 009-0-142).pdf www.fema.gov/sites/default/files/documents/fema_form-009-0-142_5-13-2020.pdf	Form and Instruction
FEMA Form FF-112-F Request for Special Priorities Assistance FEMA Form FF-112-FY-23-100 (formerly 009-0-142).pdf www.fema.gov/sites/default/files/documents/fema_form-009-0-142_5-13-2020.pdf	Form and Instruction

IC Title:

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 Part 333 (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-112-FY-23-100 (formerly 009-0-142)	Request for Special Priorities Assistance	FEMA Form FF-112-FY-23-100 (formerly 009-0-142).pdf	https://www.fema.gov/sites/default/files/documents/fema_form-009-0-142_5-13-2020.pdf	Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-10	20
Annual IC Time Burden (Hours)	3	-7	10
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.