Notice of Loss and Proof of Loss

ICR 202211-1660-001

OMB: 1660-0155

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1660-0155 can be found here:

2023-02-15 - Revision of a currently approved collection

Forms and Documents

Document Name	Status
Form FEMA Form FF-104-F Proof of Loss - Individuals and Households Form and Instruction	New
Form FEMA Form FF-104-F Proof of Loss - Individuals and Households Form and Instruction	New
Form FEMA Form FF-104-F Notice of Loss - Individuals and Households Form and Instruction	New
Form FEMA Form FF-104-F Notice of Loss - Individuals and Households Form and Instruction	New
Form FEMA Form FF-104-F Proof of Loss - Private Sector Form and Instruction	New
Form FEMA Form FF-104-F Proof of Loss - Private Sector Form and Instruction	New
Form FEMA Form FF-104-F Notice of Loss - Private Sector Form and Instruction	New
Form FEMA Form FF-104-F Notice of Loss - Private Sector Form and Instruction	New
Form FEMA Form FF-204-F Proof of Loss - State, Local, and Tribal Governments Form and Instruction	New
Form FEMA Form FF-204-F Proof of Loss - State, Local, and Tribal Governments Form and Instruction	New
Form FEMA Form FF-104-F Notice of Loss - State, Local, and Tribal Governments Form and Instruction	New
Form FEMA Form FF-104-F Notice of Loss - State, Local, and Tribal Governments Form and Instruction	New
FEMA_IFR Hermits Peak.pdf Supplementary Document	2022-11-14
Hermits Peak Public Inspection IFR.pdf Supplementary Document	2022-11-10
Emergency Justification Memo_Hermits Peak Notice of Loss_ final.pdf Supplementary Document	2022-11-08
Emergency Justification Memo_Hermits Peak Notice of Loss_ final.pdf Supplementary Document	2022-11-08
Supporting Statement Hermits Peak Notice of Loss and Proof of Loss 20221024.docx Supporting Statement A	2022-11-08
Supporting Statement Hermits Peak Notice of Loss and Proof of Loss 20221024.docx Supporting Statement A	2022-11-08

IC Document Collections

IC ID	Document Title	Status
256772	Proof of Loss - Individuals and Households Form and Instruction	New
256772	Proof of Loss - Individuals and Households Form and Instruction	New
256771	Notice of Loss - Individuals and Households Form and Instruction	New
256771	Notice of Loss - Individuals and Households Form and Instruction	New
256770	Proof of Loss - Private Sector Form and Instruction	New
256770	Proof of Loss - Private Sector Form and Instruction	New
256769	Notice of Loss - Private Sector Form and Instruction	New
256769	Notice of Loss - Private Sector Form and Instruction	New
256768	Proof of Loss - State, Local, and Tribal Governments Form and Instruction	New
256768	Proof of Loss - State, Local, and Tribal Governments Form and Instruction	New
256767	Notice of Loss - State, Local, and Tribal Governments Form and Instruction	New
256767	Notice of Loss - State, Local, and Tribal Governments Form and Instruction	New

ICR Details

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