Contract Work Summary

Public Assistance Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0017 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Contract Work Summary Form and Instruction
FEMA Form FF-104-F Contract Work Summary FF-104-FY-21-140_Contract Information_Final.docx portal.fema.gov Form and Instruction
FEMA Form FF-104-F Contract Work Summary FF-104-FY-21-140_Contract Information_Final.docx portal.fema.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Contract Work Summary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206

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-21-140 (formerly 009-0-126)	Contract Work Summary	FF-104-FY-21-140_Contract Information_Final.docx	https://portal.fema.gov	Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	1,100	1,100
Annual IC Cost Burden (Dollars)	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.