FEMA Form FF-104-FY-21-137 PDF Details

Period covering, category, location/site, disaster, project #, PA ID # and applicant.

Hours worked: Name, job title and dates and hours worked each week.

Costs: Total hours, hourly rate, benefit rate/hr, total hourly rate and total costs.

Totals: Total costs for force account labor, regular time and overtime.

Certification: The information above was obtained from payroll records, invoices, or other documents that are available for audit.

Reporting burden: Estimated to average .5 hours per response.

OMB control number: 1660-0017.

QuestionAnswer
Form NameFEMA Form FF-104-FY-21-137
Form Length1 page
Fillable?Yes
Fillable fields128
Avg. time to fill out22 min
Edition05/21
Issuing agencyFederal Emergency Management Agency
OMB control number1660-0017
Other namesFEMA Form 90-123, FEMA 90-123, 90-123, 009-0-123, FF-104-FY-21-137, Force Account Labor Summary