Information Collection

Internet Application Registration For Disaster Assistance

IC 178839 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⚠️ Notice: This information collection may be referencing outdated material.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-21-125 ( Internet Application Registration For Disaster Assistance	Form and Instruction
FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125 (formerly 009-0-1INT).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do	Form and Instruction
FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125 (formerly 009-0-1INT).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do	Form and Instruction
FF-104-FY-21-125-A Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125-A (formerly 009-0-1INT)(spanish).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do	Form and Instruction
FF-104-FY-21-125-A Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125-A (formerly 009-0-1INT)(spanish).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do	Form and Instruction
Self Assessment Qu Self Assessment Questions applicant_self_assessment___new_screen_.png	Form and Instruction
Self Assessment Qu Self Assessment Questions applicant_self_assessment___new_screen_.png	Form and Instruction

IC Title:

Internet Application Registration For Disaster Assistance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF-104-FY-21-125 (formerly 009-0-1Int)	Internet Application Registration For Disaster Assistance (English)	FEMA Form FF-104-FY-21-125 (formerly 009-0-1INT).pptx	https://www.disasteraid.fema.gov/IAC/ri/newReg.do	Yes	Yes	Fillable Fileable
Form and Instruction	FF-104-FY-21-125-A (formerly 009-0-1Int)	Internet Application Registration For Disaster Assistance (Spanish)	FEMA Form FF-104-FY-21-125-A (formerly 009-0-1INT)(spanish).pptx	https://www.disasteraid.fema.gov/IAC/ri/newReg.do	Yes	Yes	Fillable Fileable
Form and Instruction	Self Assessment Questions	Self Assessment Questions	applicant_self_assessment___new_screen_.png		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: Disaster Recovery Assistance Files System of Records

FR Citation: 78 FR 25282

Number of Respondents: 756,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	756,600	756,600
Annual IC Time Burden (Hours)	277,445	277,445
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.