Information Collection

Request for Presidential Disaster Declaration Major Disaster or Emergency (State Support Worker)

IC 257648 under ICR 202212-1660-012 · OMB 1660-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Request for Presidential Disaster Declaration Major Disaster or Emergency (State Support Worker)	Form and Instruction
FEMA Form FF-104-F Request for Presidential Disaster Declaration Major Disa FEMA Form FF-104-FY-22-232 (010-0-13).pdf	Form and Instruction
FEMA Form FF-104-F Request for Presidential Disaster Declaration Major Disa FEMA Form FF-104-FY-22-232 (010-0-13).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	FEMA Form FF-104-FY-22-232 (formerly 010-0-13)	Request for Presidential Disaster Declaration Major Disaster or Emergency	FEMA Form FF-104-FY-22-232 (010-0-13).pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	2,480	2,480
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.