Information Collection

Long Term Recovery Study

IC 251128 under ICR 202203-1660-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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-21-100 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-21-101 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-21-102 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-21-103 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-21-104 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-21-105 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-21-106 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
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
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: Unchanged

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
	Requested	Previously Approved
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.