Information Collection

Requests for Special Priorities Assistance

IC 241784 under ICR 202005-1660-001 · OMB 1660-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0149 can be found here:

Documents and Forms

Document Name Document Type
Form 009-0-142 Requests for Special Priorities Assistance Form and Instruction
009-0-142 REQUEST FOR SPECIAL PRIORITIES ASSISTANCE FEMA Form 009-0-142 Draft version 4-29-2020.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Requests for Special Priorities Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	009-0-142	REQUEST FOR SPECIAL PRIORITIES ASSISTANCE	FEMA Form 009-0-142 Draft version 4-29-2020.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	10	10
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.