Information Collection

RCPT Membership List

IC 192439 under ICR 201310-1660-004 · OMB 1660-0123.

Documents and Forms

Document Name Document Type
Form FEMA Form 089-17 RCPT Membership List Form
FEMA Form 089-17 RCPT Membership List FEMA Form 089-17_12-31-13.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RCPT Membership List	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 089-17	RCPT Membership List	FEMA Form 089-17_12-31-13.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-004 Grant Management Information Files System of Records	FR Citation: 74 FR 39705

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	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	2	2
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.