An official website of the United States government
Here’s how you know
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock (
LockA locked padlock
) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
Commercial and Government Entity (CAGE) Code:
This code is assigned through System for Award Management (SAM). If you have not registered, please go to http://www.sam.gov to register prior to completing this form.
PRIVACY ACT STATEMENT
AUTHORITY: 6 U.S.C § 796 "Registry of disaster response contractors"
Purpose: DHS/FEMA collects this information to facilitate communication between FEMA and the participants of FEMA's Industry Liaison Program.
Routine Use(s): This information is used for the principal purpose(s) noted above. The information on this form may be disclosed internally within DHS as generally permitted under 5 U.S.C. § 552a(b)(1) of the Privacy Act of 1974, as amended, and will not be shared outside of DHS.
Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may delay or prevent FEMA's sharing of information related to its Industry Liaison Program.