Form FEMA Form 087-0-0- FEMA Form 087-0-0- Staffing for Adequate Fire and Emergency Response Quarte

DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency

Staffing for Adequate Fire and Emergency Response
Quarterly Report and Payment Request Form

OMB No.:   1660‐0135                                        
 Expiration Date:  August 31 2017

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 1 hour per response for FEMA Form 087-0-0-2 “Staffing for
Adequate Fire and Emergency Response Quarterly Report and Payment Request Form.” The burden estimate includes the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting
this form. This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of
information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden
estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security,
Federal Emergency Management Agency, 500 C Street, SW., Washington, DC 20472-3100, Paperwork Reduction Project (16600135) NOTE: Do not send your completed form to this address.