Information Collection

Third Batch of Hermits Peak Instruments (New)

IC 266618 under ICR 202404-1660-002 · OMB 1660-0159.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Third Batch of Hermits Peak Instruments (New)	Form
FEMA Form FF-104-F Evacuation Information Worksheet FEMA Form FF-104-FY-24-114_DRAFT.pdf	Form
FEMA Form FF-104-F Evacuee Hosting FEMA Form FF-104-FY-24-115_DRAFT.pdf	Form
FEMA Form FF-104-F Flood Insurance Assessment FEMA Form FF-104-FY-24-116_DRAFT.pdf	Form
FEMA Form FF-104-F Smoke & Ash Cleaning FEMA Form FF-104-FY-24-117_DRAFT.pdf	Form
FEMA Form FF-104-F Risk Reduction Proposal FEMA Form FF-104-FY-24-121_DRAFT.pdf	Form
1660-0159 Generic Application Evacuation Information-04-2024.docx Generic Application - Evacuation Information	IC Document
1660-0159 Generic Application Evacuee Hosting-04-2024.docx Generic Application - Evacuee Hosting	IC Document
1660-0159 Generic Application Flood Insur Assess-04-2024.docx Generic Application - Flood Insurance Assessment	IC Document
1660-0159 Generic Application Smoke Ash-04-2024.docx Generic Application - Smoke & Ash Cleaning	IC Document
1660-0159 Generic Application Risk Reduction-04-2024_Signed.docx Generic Application - Risk Reduction Proposal	IC Document
1660-0159 - Burden and Opportunity Costs for 3rd Batch BMOPRA-1112.xlsx Worksheet - Burden and Opportunity Costs	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-104-FY-24-114	Evacuation Information Worksheet	FEMA Form FF-104-FY-24-114_DRAFT.pdf	Yes	Yes	Fillable Fileable
Form	FEMA Form FF-104-FY-24-115	Evacuee Hosting	FEMA Form FF-104-FY-24-115_DRAFT.pdf	Yes	Yes	Fillable Fileable
Form	FEMA Form FF-104-FY-24-116	Flood Insurance Assessment	FEMA Form FF-104-FY-24-116_DRAFT.pdf	Yes	Yes	Fillable Fileable
Form	FEMA Form FF-104-FY-24-117	Smoke & Ash Cleaning	FEMA Form FF-104-FY-24-117_DRAFT.pdf	Yes	Yes	Fillable Fileable
Form	FEMA Form FF-104-FY-24-121	Risk Reduction Proposal	FEMA Form FF-104-FY-24-121_DRAFT.pdf	No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 105,133

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	105,133	105,133
Annual IC Time Burden (Hours)	91,634	91,634
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Application - Evacuation Information	1660-0159 Generic Application Evacuation Information-04-2024.docx	04/09/2024
Generic Application - Evacuee Hosting	1660-0159 Generic Application Evacuee Hosting-04-2024.docx	04/09/2024
Generic Application - Flood Insurance Assessment	1660-0159 Generic Application Flood Insur Assess-04-2024.docx	04/09/2024
Generic Application - Smoke & Ash Cleaning	1660-0159 Generic Application Smoke Ash-04-2024.docx	04/09/2024
Generic Application - Risk Reduction Proposal	1660-0159 Generic Application Risk Reduction-04-2024_Signed.docx	04/09/2024
Worksheet - Burden and Opportunity Costs	1660-0159 - Burden and Opportunity Costs for 3rd Batch BMOPRA-1112.xlsx	04/09/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.