Information Collection

Long Term Recovery Study

IC 251128 under ICR 202105-1660-003 · OMB 1660-0130.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0130 can be found here:

2025-04-25 - Reinstatement without change of a previously approved collection
2022-03-30 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-21-100 Long Term Recovery Study	Form and Instruction
FF-104-FY-21-100 Long Term Recovery Study 1 Restoration: 6 Months - Phone Long Term Recovery Study 1 Restoration 6 months-Phone FF-104-FY-21-100 - 1 PAS-contact.docx	Form and Instruction
FF-104-FY-21-101 Long Term Recovery Study Restoration: 6 Months - Electro Long Term Recovery Study 1 Restoration 6 months-Electronic FF-104-FY-21-101 - 1 PAS-contact.docx	Form and Instruction
FF-104-FY-21-102 Long Term Recovery Study Restoration: 12 Months - Phone Long Term Recovery Study 2 Reconstruction I-12 months-Phone FF-104-FY-21-102 - 2 PAS-contact.docx	Form and Instruction
FF-104-FY-21-103 Long Term Recovery Study Restoration: 12 Months -- Elect Long Term Recovery Study 2 Reconstruction I-12 months-Electronic FF-104-FY-21-103 - 2 PAS-contact.docx	Form and Instruction
FF-104-FY-21-104 Long Term Recovery Study Restoration: 18 Months - Phone Long Term Recovery Study 3 Reconstruction I-18 months-Phone FF-104-FY-21-104 - 3 PAS-contact.docx	Form and Instruction
FF-104-FY-21-105 Long Term Recovery Study Restoration: 18 Months - Electr Long Term Recovery Study 3 Reconstruction I-18 months-Electronic FF-104-FY-21-105 - 3 PAS-contact.docx	Form and Instruction
FF-104-FY-21-106 Long Term Recovery Study Restoration: 24 Months - Phone Long Term Recovery Study 4 Reconstruction II-24 months-Phone FF-104-FY-21-106 - 4 PAS-contact.docx	Form and Instruction
FF-104-FY-21-107 Long Term Recovery Study Restoration: 24 Months - Electr Long Term Recovery Study 4 Reconstruction II-24 months-Electronic FF-104-FY-21-107 - 4 PAS-contact.docx	Form and Instruction
1660-0130 Signed LTR Form 2021 11 16 clean.pdf Signed Generic Clearance - LTR	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Long Term Recovery Study

Agency IC Tracking Number:

Generic - LTR

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF-104-FY-21-100	Long Term Recovery Study 1 Restoration: 6 Months - Phone	Long Term Recovery Study 1 Restoration 6 months-Phone FF-104-FY-21-100 - 1 PAS-contact.docx	No		Paper Only
Form and Instruction	FF-104-FY-21-101	Long Term Recovery Study Restoration: 6 Months - Electronic	Long Term Recovery Study 1 Restoration 6 months-Electronic FF-104-FY-21-101 - 1 PAS-contact.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FF-104-FY-21-102	Long Term Recovery Study Restoration: 12 Months - Phone	Long Term Recovery Study 2 Reconstruction I-12 months-Phone FF-104-FY-21-102 - 2 PAS-contact.docx	No		Paper Only
Form and Instruction	FF-104-FY-21-103	Long Term Recovery Study Restoration: 12 Months -- Electronic	Long Term Recovery Study 2 Reconstruction I-12 months-Electronic FF-104-FY-21-103 - 2 PAS-contact.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FF-104-FY-21-104	Long Term Recovery Study Restoration: 18 Months - Phone	Long Term Recovery Study 3 Reconstruction I-18 months-Phone FF-104-FY-21-104 - 3 PAS-contact.docx	No		Paper Only
Form and Instruction	FF-104-FY-21-105	Long Term Recovery Study Restoration: 18 Months - Electronic	Long Term Recovery Study 3 Reconstruction I-18 months-Electronic FF-104-FY-21-105 - 3 PAS-contact.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FF-104-FY-21-106	Long Term Recovery Study Restoration: 24 Months - Phone	Long Term Recovery Study 4 Reconstruction II-24 months-Phone FF-104-FY-21-106 - 4 PAS-contact.docx	No		Paper Only
Form and Instruction	FF-104-FY-21-107	Long Term Recovery Study Restoration: 24 Months - Electronic	Long Term Recovery Study 4 Reconstruction II-24 months-Electronic FF-104-FY-21-107 - 4 PAS-contact.docx	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 146,233

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	146,233	146,233
Annual IC Time Burden (Hours)	48,257	48,257
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Signed Generic Clearance - LTR	1660-0130 Signed LTR Form 2021 11 16 clean.pdf	01/12/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.