Information Collection

Disaster Assistance Registration

IC 41292 under ICR 202201-1660-005 · OMB 1660-0002.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-21-122 ( Disaster Assistance Registration	Form
FF-104-FY-21-122 ( Application / Registration for Disaster Assistance (pape FEMA Form FF-104-FY-21-122 (formerly 009-0-1).pdf	Form
FF-104-FY-21-122 ( Application / Registration for Disaster Assistance (pape FEMA Form FF-104-FY-21-122 (formerly 009-0-1).pdf	Form
FF-104-FY-21-122-A Application / Registration for Disaster Assistance (pape FEMA Form FF-104-FY-21-122-A (formerly 009-0-2).pdf	Form
FF-104-FY-21-122-A Application / Registration for Disaster Assistance (pape FEMA Form FF-104-FY-21-122-A (formerly 009-0-2).pdf	Form

IC Title:

Disaster Assistance Registration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Subpart D (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FF-104-FY-21-122 (formerly 009-0-1)	Application / Registration for Disaster Assistance (paper, English)	FEMA Form FF-104-FY-21-122 (formerly 009-0-1).pdf		No		Paper Only
Form	FF-104-FY-21-122-A (formerly 009-0-2)	Application / Registration for Disaster Assistance (paper, Spanish)	FEMA Form FF-104-FY-21-122-A (formerly 009-0-2).pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: DHS/FEMA 008 Disaster Recovery Assistance Files

FR Citation: 78 FR 25282

Number of Respondents: 2,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,300	2,300
Annual IC Time Burden (Hours)	767	767
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.