Information Collection Request

Notice of Loss and Proof of Loss

ICR 202211-1660-001 · OMB 1660-0155 · Active

⚠️ Notice: This information collection may be outdated.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

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form FEMA Form FF-104-F Proof of Loss - Individuals and Households	Form and Instruction	New	Available
Form FEMA Form FF-104-F Proof of Loss - Individuals and Households	Form and Instruction	New	Repair queued
Form FEMA Form FF-104-F Notice of Loss - Individuals and Households	Form and Instruction	New	Available
Form FEMA Form FF-104-F Notice of Loss - Individuals and Households	Form and Instruction	New	Repair queued
Form FEMA Form FF-104-F Proof of Loss - Private Sector	Form and Instruction	New	Available
Form FEMA Form FF-104-F Proof of Loss - Private Sector	Form and Instruction	New	Repair queued
Form FEMA Form FF-104-F Notice of Loss - Private Sector	Form and Instruction	New	Available
Form FEMA Form FF-104-F Notice of Loss - Private Sector	Form and Instruction	New	Repair queued
Form FEMA Form FF-204-F Proof of Loss - State, Local, and Tribal Governments	Form and Instruction	New	Available
Form FEMA Form FF-204-F Proof of Loss - State, Local, and Tribal Governments	Form and Instruction	New	Missing upstream
Form FEMA Form FF-104-F Notice of Loss - State, Local, and Tribal Governments	Form and Instruction	New	Available
Form FEMA Form FF-104-F Notice of Loss - State, Local, and Tribal Governments	Form and Instruction	New	Repair queued
FEMA_IFR Hermits Peak.pdf	Supplementary Document	Uploaded 2022-11-14	Available
Hermits Peak Public Inspection IFR.pdf	Supplementary Document	Uploaded 2022-11-10	Repair queued
Emergency Justification Memo_Hermits Peak Notice of Loss_ final.pdf	Supplementary Document	Uploaded 2022-11-08	Available
Emergency Justification Memo_Hermits Peak Notice of Loss_ final.pdf	Supplementary Document	Uploaded 2022-11-08	Repair queued
Supporting Statement Hermits Peak Notice of Loss and Proof of Loss 20221024.docx	Supporting Statement A	Uploaded 2022-11-08	Available
Supporting Statement Hermits Peak Notice of Loss and Proof of Loss 20221024.docx	Supporting Statement A	Uploaded 2022-11-08	Repair queued

IC Document Collections

Information collection document groups
IC ID	Collection	Type	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

Record metadata
Status	Active
Agency/Subagency	DHS/FEMA
OMB Control No	1660-0155
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	Emergency - Hermit's Peak (1660-NW162)
Date Submitted to OIRA	2022-11-10
Requested Expiration Date	2022-11-14