Information Collection

Tele-Registration Application For Disaster Assistance

IC 178838 under ICR 202212-1660-005 · OMB 1660-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-104-FY-21-123 ( Tele-Registration Application For Disaster Assistance	Form and Instruction
FF-104-FY-21-123 ( Tele-Registration Application for Disaster Assistance (E FEMA Form FF-104-FY-21-123 (formerly 009-0-1T).pptx	Form and Instruction
FF-104-FY-21-123 ( Tele-Registration Application for Disaster Assistance (E FEMA Form FF-104-FY-21-123 (formerly 009-0-1T).pptx	Form and Instruction
Assement Questions Assessment Questions applicant_self_assessment___new_screen_.png	Form and Instruction
Assement Questions Assessment Questions applicant_self_assessment___new_screen_.png	Form and Instruction
FF-104-FY-21-123-A Tele-Registration Application for Disaster Assistance (S FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T)(spanish).pptx	Form and Instruction
FF-104-FY-21-123-A Tele-Registration Application for Disaster Assistance (S FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T)(spanish).pptx	Form and Instruction

IC Title:

Tele-Registration Application For Disaster Assistance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Subpart D (To search for a specific CFR, visit the Code of Federal Regulations.)

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-21-123 (formerly 009-01T)	Tele-Registration Application for Disaster Assistance (English)	FEMA Form FF-104-FY-21-123 (formerly 009-0-1T).pptx	Yes	Yes	Fillable Fileable
Form and Instruction	Assement Questions	Assessment Questions	applicant_self_assessment___new_screen_.png	Yes	Yes	Fillable Fileable
Form and Instruction	FF-104-FY-21-123-A (formerly 009-01T Spanish)	Tele-Registration Application for Disaster Assistance (Spanish)	FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T)(spanish).pptx	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title: Disaster Recovery Assistance Files System of Records

FR Citation: 78 FR 25282

Number of Respondents: 181,900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-181,900	181,900
Annual IC Time Burden (Hours)	-66,703	66,703
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.