Information Collection Request

Public Assistance Program

ICR 202311-1660-001 · OMB 1660-0017 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FEMA Form FF-104-F Request for Public Assistance Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Tribe Administrative Plan Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Time Extension Request Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Damage Information Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Project Application for Management Costs Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Project Application for Building Code and Floodplain Management and Enforcement Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Project Application for Infrastructure Restoration Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Project Application for COVID-19 Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Project Application for Emergency Protective Measures Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Project Application for Debris Removal Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Pre-Approval Request Form and Instruction Modified Repair queued
Form FEMA Form FF-104-F Donated Labor Sign-in Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Impact List Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Applicant Impact Survey Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Recipient Incident Information Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Organization Profile Form and Instruction Unchanged Repair queued
Form FEMA Template 104- Equitable Vaccine Administration Information Submission Template Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F State Administrative Plan Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Force Account Equipment Summary Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Contract Work Summary Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Rented Equipment Summary Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Materials Summary Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Force Account Labor Summary Record Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Applicant's Benefits Calculation Worksheet Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Quarterly Progress Report Form and Instruction Unchanged Repair queued
1660-0017 - Emergency Supporting Statement A - 2023 11 02 clean.docx Supporting Statement A Uploaded 2023-11-02 Missing upstream
1660-0017 Emergency Justification Memo - 11022023.pdf Supplementary Document Uploaded 2023-11-02 Repair queued
1600-0017 - Published 30-Day BRI FRN - 2023 03 03.pdf Supplementary Document Uploaded 2023-03-03 Repair queued
1600-0017 - Published 60-Day BRI FRN - 2022 12 14.pdf Supplementary Document Uploaded 2022-12-30 Missing upstream
privacy-pia-fema-hmgp.pdf Supplementary Document Uploaded 2022-12-30 Repair queued
privacy_pia_FEMA_GrantManagementPrograms_February2015.pdf Supplementary Document Uploaded 2022-12-30 Missing upstream
SORN, DHS-FEMA-009 HMA, PA, and CDL SORN (78 FR 16015, 2014 03 24).pdf Supplementary Document Uploaded 2022-12-30 Repair queued
stafford_act.pdf Supplementary Document Uploaded 2016-09-02 Repair queued
CFR-2011-title44-vol1-part206.pdf Supplementary Document Uploaded 2016-09-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
41294 Request for Public Assistance Form and Instruction Unchanged
257686 Tribe Administrative Plan Form and Instruction Unchanged
257685 Time Extension Request Form and Instruction Unchanged
257682 Damage Information Form and Instruction Unchanged
257681 Project Application for Management Costs Form and Instruction Unchanged
257680 Project Application for Building Code and Floodplain Management and Enforcement Form and Instruction Unchanged
257679 Project Application for Infrastructure Restoration Form and Instruction Unchanged
257678 Project Application for COVID-19 Form and Instruction Unchanged
257677 Project Application for Emergency Protective Measures Form and Instruction Unchanged
257676 Project Application for Debris Removal Form and Instruction Unchanged
257675 Pre-Approval Request Form and Instruction Modified
257674 Donated Labor Sign-in Form and Instruction Unchanged
257673 Impact List Form and Instruction Unchanged
257672 Applicant Impact Survey Form and Instruction Unchanged
257671 Recipient Incident Information Form and Instruction Unchanged
257670 Organization Profile Form and Instruction Unchanged
247457 Equitable Vaccine Administration Information Submission Template Form and Instruction Unchanged
191941 State Administrative Plan Form and Instruction Unchanged
190424 Request for Arbitration and Recommendation from Hurricanes Katrina or Rita Unchanged
190419 Request for Appeals and Recommendation Unchanged
185911 Force Account Equipment Summary Form and Instruction Unchanged
185910 Contract Work Summary Form and Instruction Unchanged
185909 Rented Equipment Summary Form and Instruction Unchanged
185908 Materials Summary Form and Instruction Unchanged
185907 Force Account Labor Summary Record Form and Instruction Unchanged
185903 Applicant's Benefits Calculation Worksheet Form and Instruction Unchanged
185897 Quarterly Progress Report Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
6 Months From Approved 08/31/2026
635,269 635,269
341,635 341,635
0 0





Reginfo record details
27
table that charts list of burden
IC Title Form No. Form Name
Applicant Impact Survey FEMA Form FF-104-FY-22-235 Applicant Impact Survey
Applicant's Benefits Calculation Worksheet FEMA Form FF-104-FY-21-135 (formerly 009-0-128) Applicant's Benefits Calculation Worksheet
Contract Work Summary FEMA Form FF-104-FY-21-140 (formerly 009-0-126) Contract Work Summary
Damage Information FEMA Form FF-104-FY-22-245 Damage Information
Donated Labor Sign-in FEMA Form FF-104-FY-22-237 Donated Labor Sign-in
Equitable Vaccine Administration Information Submission Template FEMA Template 104-FY-21-100 Equitable Vaccine Response and Recovery: Vaccine Administration Information
Force Account Equipment Summary FEMA Form FF-104-FY-21-141 (formerly 009-0-127) Force Account Equipment Summary Record
Force Account Labor Summary Record FEMA Form FF-104-FY-21-137 (formerly 009-0-123) Force Account Labor Summary Record
Impact List FEMA Form FF-104-FY-22-236 Impact List
Materials Summary FEMA Form FF-104-FY-21-138 (formerly 009-0-124) Materials Summary Record
Organization Profile FEMA Form FF-104-FY-22-233 Organization Profile
Pre-Approval Request FEMA Form FF-104-FY-22-238 Pre-Approval Request
Project Application for Building Code and Floodplain Management and Enforcement FEMA Form FF-104-FY-22-243 Project Application for Building Code and Floodplain Management Administration and Enforcement
Project Application for COVID-19 FEMA Form FF-104-FY-22-241 Project Application for COVID-19
Project Application for Debris Removal FEMA Form FF-104-FY-22-239 Project Application for Debris Removal
Project Application for Emergency Protective Measures FEMA Form FF-104-FY-22-240 Project Application for Emergency Protective Measures
Project Application for Infrastructure Restoration FEMA Form FF-104-FY-22-242 Project Application for Infrastructure Restoration
Project Application for Management Costs FEMA Form FF-104-FY-22-244 Project Application for Management Costs
Quarterly Progress Report FEMA Form FF-104-FY-21-132 (formerly 009-0-111) Quarterly Progress Report
Recipient Incident Information FEMA Form FF-104-FY-22-234 Recipient Incident Information
Rented Equipment Summary FEMA Form FF-104-FY-21-139 (formerly 009-0-125) Rented Equipment Summary Record
Request for Appeals and Recommendation
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita
Request for Public Assistance FEMA Form FF-104-FY-21-131 (formerly 009-0-49) Request for Public Assistance
State Administrative Plan FEMA Form FF-104-FY-22-249 State Administrative Plan
Time Extension Request FEMA Form FF-104-FY-22-248 Time Extension
Tribe Administrative Plan FEMA Form FF-104-FY-22-250 Tribal Administrative Plan

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 635,269 635,269 0 0 0 0
Annual Time Burden (Hours) 341,635 341,635 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No