Information Collection

Application for Loan Cancellation

IC 237794 under ICR 202301-1660-003 · OMB 1660-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Application for Loan Cancellation	Form and Instruction
FEMA Form FF-104-F Application for Loan Cancellation FEMA Form FF-104-FY-22-227 (formerly 009-0-15).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 44 CFR 206.360 thru 206.367

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-22-227 (formerly 009-0-15)	Application for Loan Cancellation	FEMA Form FF-104-FY-22-227 (formerly 009-0-15).pdf		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title: DHS/FEMA-009 - Hazard Mitigation Disaster Public Assistance and Disaster Loan Programs

FR Citation: 79 FR 16015

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	-50	110
Annual IC Time Burden (Hours)	180	70	110
Annual IC Cost Burden (Dollars)	0	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.