COVID-19 Offer of Medical Supplies or Equipment

OMB Number: 1660-0147
Expiration Date: 10/31/2020
PAPERWORK BURDEN DISCLOSURE NOTICE
FEMA Form 248-0-0-1

Public reporting burden for this data collection is estimated to average 11 minutes per response. 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. 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 (1660-0147) NOTE: Do not send your completed form to this address.

We appreciate your offer of assistance to help us ensure the availability of critical protective and lifesaving resources to the right place, at the right time, and in the right quantity for a Whole of Nation response to COVID-19.  We are working to marshal every source of medical supplies and equipment, and will work to facilitate your generous donation.

Please provide the information requested below; we will route your offer and will follow up with you.  You will receive a copy of the information you provide after you submit this form.

Product Details

Commodity Details