Surplus Federal Real Property Application for Public Benefit Conveyance

Application for Surplus Federal Real Property Public Benefit Conveyance and Base Realignment and Closure (BRAC) Program for Emergency Management Use

Documents and Forms

Document Name Document Type
Form FEMA Form FF-119-F Surplus Federal Real Property Application for Public Benefit Conveyance Form and Instruction
FEMA Form FF-119-F Surplus Federal Real Property Application for Public Ben FEMA Form FF-119-FY-22-133 (formerly 119-0-1)_draft.pdf PBC-BRAC-Coordinator@fema.dhs.gov Form and Instruction
FEMA Form FF-119-F Surplus Federal Real Property Application for Public Ben FEMA Form FF-119-FY-22-133 (formerly 119-0-1)_draft.pdf PBC-BRAC-Coordinator@fema.dhs.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Surplus Federal Real Property Application for Public Benefit Conveyance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 41 CFR 102-75.750-815 (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-119-FY-22-133 (formerly 119-0-1)	Surplus Federal Real Property Application for Public Benefit Conveyance	FEMA Form FF-119-FY-22-133 (formerly 119-0-1)_draft.pdf	PBC-BRAC-Coordinator@fema.dhs.gov	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/All-F002 Department of Homeland Security Mailing and Other Lists System of Records	FR Citation: 73 FR 71659

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15	0	15
Annual IC Time Burden (Hours)	68	-7	75
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.