Declaration and Release

Disaster Assistance Registration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0002 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Forn 90-69B Declaration and Release Form
FEMA Forn 90-69B Declaration and Release Form FF 90-69B English L. Johnson.pdf Form
FEMA Form 90-69C Declaration and Release (Spanish) FF 90-69C Spanish 02-26-07 L. Johnson.pdf Form

Information Collection (IC) Details

IC Title:	Declaration and Release	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Part 206 (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	FEMA Forn 90-69B	Declaration and Release Form	FF 90-69B English L. Johnson.pdf		No		Paper Only
Form	FEMA Form 90-69C	Declaration and Release (Spanish)	FF 90-69C Spanish 02-26-07 L. Johnson.pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,099,706	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,099,706	1,099,706
Annual IC Time Burden (Hours)	36,657	36,657
Annual IC Cost Burden (Dollars)	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.