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Request to Stop Payment and Reissue Disaster Assistance Check
Federal Assistance to Individuals and Households Program (IHP)
OMB: 1660-0061
IC ID: 242023
OMB.report
DHS/FEMA
OMB 1660-0061
ICR 202202-1660-001
IC 242023
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0061 can be found here:
2024-05-07 - No material or nonsubstantive change to a currently approved collection
2024-04-16 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FEMA Form FF-104-F
Request to Stop Payment and Reissue Disaster Assistance Check
Form and Instruction
FEMA Form FF-104-F Request to Stop Payment and Reissue Disaster Assistance
FEMA Form FF-104-FY-21-117 (formerly 009-0-96).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request to Stop Payment and Reissue Disaster Assistance Check
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 206.115
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FEMA Form FF-104-FY-21-117 (formerly 009-0-96)
Request to Stop Payment and Reissue Disaster Assistance Check
FEMA Form FF-104-FY-21-117 (formerly 009-0-96).pdf
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Repair and Restore
Privacy Act System of Records
Title:
DHS/FEMA-008-Disaster Recovery Assistance Files
FR Citation:
78 FR 25282
Number of Respondents:
2,922
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,922
0
0
0
0
2,922
Annual IC Time Burden (Hours)
292
0
58
0
0
234
Annual IC Cost Burden (Dollars)
0
0
0
0
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.