Information Collection

Requests for Special Priorities Assistance (Managerial Respondents)

IC 241784 under ICR 202309-1660-006 · OMB 1660-0149.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-112-F Requests for Special Priorities Assistance (Managerial Respondents) Form and Instruction
FEMA Form FF-112-F Request for Special Priorities Assistance FEMA Form FF-112-FY-23-100 (formerly 009-0-142).pdf www.fema.gov/sites/default/files/documents/fema_form-009-0-142_5-13-2020.pdf Form and Instruction
FEMA Form FF-112-F Request for Special Priorities Assistance FEMA Form FF-112-FY-23-100 (formerly 009-0-142).pdf www.fema.gov/sites/default/files/documents/fema_form-009-0-142_5-13-2020.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Requests for Special Priorities Assistance (Managerial Respondents)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Part 333 (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 and Instruction	FEMA Form FF-112-FY-23-100 (formerly 009-0-142)	Request for Special Priorities Assistance	FEMA Form FF-112-FY-23-100 (formerly 009-0-142).pdf	https://www.fema.gov/sites/default/files/documents/fema_form-009-0-142_5-13-2020.pdf	Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-10	20
Annual IC Time Burden (Hours)	3	-7	10
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.