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Requests for Special Priorities Assistance (Administrative Respondents)
Requests for Special Priorities Assistance
OMB: 1660-0149
IC ID: 262093
OMB.report
DHS/FEMA
OMB 1660-0149
ICR 202309-1660-006
IC 262093
( )
Documents and Forms
Document Name
Document Type
Form FEMA Form FF-112-F
Requests for Special Priorities Assistance (Administrative 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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Requests for Special Priorities Assistance (Administrative Respondents)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
10
0
0
10
0
0
Annual IC Time Burden (Hours)
3
0
0
3
0
0
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.
