Tele-Registration Application For Disaster Assistance

Disaster Assistance Registration

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.