Information Collection

Request for Use of NETC Facilities

IC 21089 under ICR 202301-1660-002 · OMB 1660-0029.

Documents and Forms

Document Name Document Type
Form 119-17-2 Request for Use of NETC Facilities Form
119-17-2 Request For Use of NETC Facilities 119-17-2.pdf Form
119-17-2 Request For Use of NETC Facilities 119-17-2.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Use of NETC Facilities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Part 15 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	119-17-2	Request For Use of NETC Facilities	119-17-2.pdf		Yes	Yes	Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-60	60
Annual IC Time Burden (Hours)	-6	6
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.