Information Collection

6th Batch of Hermit's Peak Instruments (New)

IC 271165 under ICR 202404-1660-002 · OMB 1660-0159.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-24-114-E Evacuation Information Worksheet (Spanish Version) 6th Batch of Hermit's Peak Instruments (New)	Form
Form FF-104-FY-24-115-E Evacuee Hosting (Spanish Version) 6th Batch of Hermit's Peak Instruments (New)	Form
Form FF-104-FY-24-116-A Flood Insurance Assessment (Spanish Version) 6th Batch of Hermit's Peak Instruments (New)	Form
Form FF-104-FY-24-122-E Notice of Appeal (Spanish Version) 6th Batch of Hermit's Peak Instruments (New)	Form
Form FF-104-FY-24-121-E Risk Reduction Proposal Form (Spanish Version) 6th Batch of Hermit's Peak Instruments (New)	Form
Form FF-104-FY-24-117-E Smoke & Ash Cleaning Form (Spanish Version) 6th Batch of Hermit's Peak Instruments (New)	Form
FF-104-FY-24-114-E Evacuation Information Worksheet (Spanish Version) FEMA Form FF-104-FY-24-114_ES.pdf	Form
FF-104-FY-24-115-E Evacuee Hosting (Spanish Version) FEMA Form FF-104-FY-24-115_ES.pdf	Form
FF-104-FY-24-116-A Flood Insurance Assessment (Spanish Version) FEMA Form FF-104-FY-24-116_ES.pdf	Form
FF-104-FY-24-122-E Notice of Appeal (Spanish Version) FEMA Form FF-104-FY-24-122_ES.pdf	Form
FF-104-FY-24-121-E Risk Reduction Proposal Form (Spanish Version) FEMA Form FF-104-FY-24-121_ES.pdf	Form
FF-104-FY-24-117-E Smoke & Ash Cleaning Form (Spanish Version) FEMA Form FF-104-FY-24-117_ES.pdf	Form
1660-0159 Generic Application Evacuation Info (ESP)07-2024.pdf Generic Application Evacuation Information Worksheet (Spanish Version)	IC Document
1660-0159 Generic Application Evacuee Hosting (ESP)-07-2024.pdf Generic Application Evacuee Hosting (Spanish Version)	IC Document
1660-0159 Generic Application NOA (ESP)-07-2024.pdf Generic Application Notice of Appeal (Spanish Version)	IC Document
1660-0159 Generic Application Risk Reduction (ESP) -07-2024.pdf Generic Application Risk Reduction Proposal Form (Spanish Version)	IC Document
1660-0159 Generic Application Flood Insur Assess(ESP) 07-2024.pdf Generic Application Flood Insurance Assessment (Spanish Version)	IC Document
1660-0159 Generic Application Smoke Ash (ESP)-07-2024.pdf Generic Application Smoke & Ash Cleaning Form (Spanish Version)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

6th Batch of Hermit's Peak Instruments (New)

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FF-104-FY-24-114-ES	Yes	Yes	Fillable Fileable
Form	FF-104-FY-24-115-ES	Yes	Yes	Fillable Fileable
Form	FF-104-FY-24-116-A	Yes	Yes	Fillable Fileable
Form	FF-104-FY-24-122-ES	Yes	Yes	Fillable Fileable
Form	FF-104-FY-24-121-ES	Yes	Yes	Fillable Fileable
Form	FF-104-FY-24-117-ES	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 114,707

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	114,707	114,707
Annual IC Time Burden (Hours)	98,876	98,876
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Application Evacuation Information Worksheet (Spanish Version)		09/25/2024
Generic Application Evacuee Hosting (Spanish Version)		09/25/2024
Generic Application Notice of Appeal (Spanish Version)		09/25/2024
Generic Application Risk Reduction Proposal Form (Spanish Version)		09/25/2024
Generic Application Flood Insurance Assessment (Spanish Version)		09/25/2024
Generic Application Smoke & Ash Cleaning Form (Spanish Version)		09/25/2024

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

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