Information Collection Request

Disaster Assistance Registration

ICR 202212-1660-005 · OMB 1660-0002 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FF-104-FY-21-122-A Application / Registration for Disaster Assistance (paper, Spanish) Form Unchanged Available
Form FF-104-FY-21-122 ( Application / Registration for Disaster Assistance (paper, English) Form Unchanged Available
Form FF-104-FY-21-122 ( Disaster Assistance Registration Form Unchanged Repair queued
Form FF-104-FY-21-123-C Tele-Registration Application for COVID-19 Funeral Assistance (English) Form and Instruction Removed Available
Form FF-104-FY-21-123-C Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA Form and Instruction Removed Repair queued
Form FF-104-FY-21-128-A Declaration and Release Form (Spanish) Form Unchanged Available
Form FF-104-FY-21-128 ( Declaration and Release Form (English) Form Unchanged Available
Form FF-104-FY-21-128 ( Declaration and Release Form Unchanged Repair queued
Form FF-104-FY-21-127 ( Temporary Housing Program - Receipt for Government Property (English) Form Unchanged Available
Form FF-104-FY-21-127-A Temporary Housing Progam-Receipt for Government Property (Spanish) Form Unchanged Available
Form FF-104-FY-21-127-A Manufactured Housing Unit Revocable License and Receipt for Government Property Form Unchanged Repair queued
Form Self Assessment Qu Self Assessment Questions Form and Instruction Unchanged Available
Form FF-104-FY-21-125-A Internet Application Registration For Disaster Assistance (Spanish) Form and Instruction Unchanged Available
Form FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistance (English) Form and Instruction Unchanged Available
Form FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistance Form and Instruction Unchanged Repair queued
Form FF-104-FY-21-123-A Tele-Registration Application for Disaster Assistance (Spanish) Form and Instruction Removed Available
Form Assement Questions Assessment Questions Form and Instruction Removed Available
Form FF-104-FY-21-123 ( Tele-Registration Application for Disaster Assistance (English) Form and Instruction Removed Available
Form FF-104-FY-21-123 ( Tele-Registration Application For Disaster Assistance Form and Instruction Removed Repair queued
FEMA Form FF-104-FY-21-123 (formerly 009-0-1T).pptx Supplementary Document Uploaded 2023-02-23 Repair queued
Narrative of Changes Table All Damages 7.25.22_OMB.docx Supplementary Document Uploaded 2023-02-23 Repair queued
FEMA Form FF-119-FY-21-105 RI_7.25.22_OMB.pdf Supplementary Document Uploaded 2023-02-23 Repair queued
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx Supplementary Document Uploaded 2023-02-23 Repair queued
DAIP Roadmap (2022-2024).pptx Supplementary Document Uploaded 2023-02-23 Repair queued
PAS FEMA - Streamline RI AllNeeds 20230118 PRIV FINAL.pdf Supplementary Document Uploaded 2023-02-14 Repair queued
PTA FEMA - Disaster Assistance Registration - Streamline Registration Intake 20230118 PRIV FINAL.pdf Supplementary Document Uploaded 2023-02-14 Repair queued
SORN DHS-FEMA-008 Disaster Recovery Assistance Files (78 FR 25282).pdf Supplementary Document Uploaded 2022-01-28 Repair queued
privacy-pia-fema-049-ia-january2018.pdf Supplementary Document Uploaded 2022-01-28 Repair queued
1660-0002 - Published 30-Day Revision FRN for Streamline RI - 2023 02 22.pdf Supplementary Document Uploaded 2023-02-23 Repair queued
1660-0002 - Published 60-Day Revision FRN for Streamline RI - 2022 11 28.pdf Supplementary Document Uploaded 2022-12-21 Repair queued
OCC and OWN letters mock up Final.docx Supplementary Document Uploaded 2021-08-16 Repair queued
1600-0002 - Supporting Statement for Streamline RI - 2023 02 23 clean.docx Supporting Statement A Uploaded 2023-02-23 Repair queued
Stafford Act Booklet 042213, (Sec 408).pdf Supplementary Document Uploaded 2021-02-16 Repair queued
Title 44 cfr 206.117.pdf Supplementary Document Uploaded 2021-02-16 Repair queued
44 CFR sec 206-110.pdf Supplementary Document Uploaded 2021-02-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
41292 Disaster Assistance Registration Form UnchangedApplication / Registration for Disaster Assistance (paper, Spanish)
41292 Disaster Assistance Registration Form UnchangedApplication / Registration for Disaster Assistance (paper, English)
41292 Disaster Assistance Registration Form Unchanged
258547 Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) New
258546 Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses New
258545 Streamline Registration Intake for Disaster Assistance, Lodging Expenses New
258544 Streamline Registration Intake for Disaster Assistance, Childcare Expenses New
258543 Streamline Registration Intake for Disaster Assistance, Funeral Expenses New
258542 Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage New
258541 Streamline Registration Intake for Disaster Assistance, Emergency Needs New
258539 Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage New
258538 Streamline Registration Intake for Disaster Assistance, Personal Property Damage New
258537 Streamline Registration Intake for Disaster Assistance, Home Damage New
251399 Request for Information (RFI) (Funeral Verification) Modified
248900 Request for Information (RFI) (Occupancy Verification) Modified
248899 Request for Information (RFI) (Ownership Verification) Modified
246283 Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA Form and Instruction RemovedTele-Registration Application for COVID-19 Funeral Assistance (English)
246283 Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA Form and Instruction Removed
208764 Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items) Other-Letter Modified
178884 Declaration and Release Form UnchangedDeclaration and Release Form (Spanish)
178884 Declaration and Release Form UnchangedDeclaration and Release Form (English)
178884 Declaration and Release Form Unchanged
178883 Manufactured Housing Unit Revocable License and Receipt for Government Property Form UnchangedTemporary Housing Program - Receipt for Government Property (English)
178883 Manufactured Housing Unit Revocable License and Receipt for Government Property Form UnchangedTemporary Housing Progam-Receipt for Government Property (Spanish)
178883 Manufactured Housing Unit Revocable License and Receipt for Government Property Form Unchanged
178839 Internet Application Registration For Disaster Assistance Form and Instruction UnchangedSelf Assessment Questions
178839 Internet Application Registration For Disaster Assistance Form and Instruction UnchangedInternet Application Registration For Disaster Assistance (Spanish)
178839 Internet Application Registration For Disaster Assistance Form and Instruction UnchangedInternet Application Registration For Disaster Assistance (English)
178839 Internet Application Registration For Disaster Assistance Form and Instruction Unchanged
178838 Tele-Registration Application For Disaster Assistance Form and Instruction RemovedTele-Registration Application for Disaster Assistance (Spanish)
178838 Tele-Registration Application For Disaster Assistance Form and Instruction RemovedAssessment Questions
178838 Tele-Registration Application For Disaster Assistance Form and Instruction RemovedTele-Registration Application for Disaster Assistance (English)
178838 Tele-Registration Application For Disaster Assistance Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2026 36 Months From Approved 09/30/2025
1,684,234 0 2,043,134
476,030 0 642,031
0 0 0





Reginfo record details
18
table that charts list of burden
IC Title Form No. Form Name
Declaration and Release FF-104-FY-21-128 (formerly 009-0-3), FF-104-FY-21-128-A (formerly 009-0-4) ,  
Disaster Assistance Registration FF-104-FY-21-122 (formerly 009-0-1), FF-104-FY-21-122-A (formerly 009-0-2) ,  
Internet Application Registration For Disaster Assistance FF-104-FY-21-125 (formerly 009-0-1Int), FF-104-FY-21-125-A (formerly 009-0-1Int), Self Assessment Questions ,   ,  
Manufactured Housing Unit Revocable License and Receipt for Government Property FF-104-FY-21-127-A (formerly 009-0-6), FF-104-FY-21-127 (formerly 009-0-5) ,  
Request for Information (RFI) (Funeral Verification)
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)
Request for Information (RFI) (Occupancy Verification)
Request for Information (RFI) (Ownership Verification)
Streamline Registration Intake for Disaster Assistance, Childcare Expenses
Streamline Registration Intake for Disaster Assistance, Emergency Needs
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage
Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.)
Streamline Registration Intake for Disaster Assistance, Funeral Expenses
Streamline Registration Intake for Disaster Assistance, Home Damage
Streamline Registration Intake for Disaster Assistance, Lodging Expenses
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses
Streamline Registration Intake for Disaster Assistance, Personal Property Damage
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage
Tele-Registration Application For Disaster Assistance Assement Questions, FF-104-FY-21-123-A (formerly 009-01T Spanish), FF-104-FY-21-123 (formerly 009-01T) ,   ,  
Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA FF-104-FY-21-123-COVID-FA (formerly 009-0-1T-COVID

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,684,234 2,043,134 0 -358,900 0 0
Annual Time Burden (Hours) 476,030 642,031 0 -166,001 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No