Information Collection

Community Assistance Visit (CAV) Report, FEMA Form FF-206-FY-21-141 (formerly 086-0-28 (E))

IC 21079 under ICR 202211-1660-003 · OMB 1660-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0023 can be found here:

Documents and Forms

Document Name Document Type
Form FF-206-FY-21-141 ( Community Assistance Visit (CAV) Report, FEMA Form FF-206-FY-21-141 (formerly 086-0-28 (E)) Form and Instruction
FF-206-FY-21-141 ( Community Assistance Visit (CAV) Report FF-206-FY-21-141 (formerly 086-0-28).docx sso.fema.net/cis/homepage.action Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Community Assistance Visit (CAV) Report, FEMA Form FF-206-FY-21-141 (formerly 086-0-28 (E))	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 and Instruction	FF-206-FY-21-141 (formerly 086-0-28)	Community Assistance Visit (CAV) Report	FF-206-FY-21-141 (formerly 086-0-28).docx	https://sso.fema.net/cis/homepage.action	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	500	-500	1,000
Annual IC Time Burden (Hours)	30,000	28,000	2,000
Annual IC Cost Burden (Dollars)	0	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.