Disaster Assistance Registration

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FF-104-FY-21-122-A Application / Registration for Disaster Assistance (paper, Spanish)	Form	Modified	Available
Form FF-104-FY-21-122 ( Application for Disaster Assistance (paper, English)	Form	Modified	Available
Form FF-104-FY-21-122 ( Disaster Assistance Registration	Form	Modified	Repair queued
Form FF-104-FY-21-128-A Declaration and Release Form (Spanish)	Form	Unchanged	Available
Form FF-104-FY-21-128 ( Declaration and Release Form (English)	Form	Unchanged	Available
Form FF-104-FY-21-128 ( Declaration and Release	Form	Unchanged	Repair queued
Form FF-104-FY-21-127 ( Temporary Housing Program - Receipt for Government Property (English)	Form	Unchanged	Available
Form FF-104-FY-21-127-A Temporary Housing Progam-Receipt for Government Property (Spanish)	Form	Unchanged	Available
Form FF-104-FY-21-127-A Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged	Repair queued
Form Self Assessment Qu Self Assessment Questions	Form and Instruction	Unchanged	Available
Form FF-104-FY-21-125-A Internet Application Registration For Disaster Assistance (Spanish)	Form and Instruction	Unchanged	Available
Form FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistance (English)	Form and Instruction	Unchanged	Available
Form FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistance	Form and Instruction	Unchanged	Repair queued
1660-0002 Streamline RI_Change Request_Terms of Clearance_Update_7.24.23.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-27	Repair queued
OMB Form 83-C_ 1660-0002_07 24 2023.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-27	Repair queued
Narrative of Changes Table_Streamline RI_Paper Application_7.14.23 Clean.docx	Supplementary Document	Uploaded 2023-07-14	Repair queued
Narrative of Changes Table_Streamline RI_Call Center_7.14.23.docx	Supplementary Document	Uploaded 2023-07-14	Repair queued
1660-0002_OMB Form 83-C_Streamline RI_Public_7.13.23.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-24	Repair queued
1660-0002_OMB Form 83-C_Streamline RI_Paper App_7.13.23.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-24	Repair queued
1660-0002_OMB Form 83-C_Streamline RI_Call Center_7.13.23.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-24	Repair queued
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx	Supplementary Document	Uploaded 2023-02-23	Available
DAIP Roadmap (2022-2024).pptx	Supplementary Document	Uploaded 2023-02-23	Repair queued
PAS FEMA - Streamline RI AllNeeds 20230118 PRIV FINAL.pdf	Supplementary Document	Uploaded 2023-02-14	Repair queued
PTA FEMA - Disaster Assistance Registration - Streamline Registration Intake 20230118 PRIV FINAL.pdf	Supplementary Document	Uploaded 2023-02-14	Repair queued
SORN DHS-FEMA-008 Disaster Recovery Assistance Files (78 FR 25282).pdf	Supplementary Document	Uploaded 2022-01-28	Repair queued
privacy-pia-fema-049-ia-january2018.pdf	Supplementary Document	Uploaded 2022-01-28	Repair queued
1660-0002 - Published 30-Day Revision FRN for Streamline RI - 2023 02 22.pdf	Supplementary Document	Uploaded 2023-02-23	Repair queued
1660-0002 - Published 60-Day Revision FRN for Streamline RI - 2022 11 28.pdf	Supplementary Document	Uploaded 2022-12-21	Repair queued
OCC and OWN letters mock up Final.docx	Supplementary Document	Uploaded 2021-08-16	Repair queued
1600-0002 - Supporting Statement for Streamline RI_final.docx	Supporting Statement A	Uploaded 2023-07-14	Available
Stafford Act Booklet 042213, (Sec 408).pdf	Supplementary Document	Uploaded 2021-02-16	Repair queued
Title 44 cfr 206.117.pdf	Supplementary Document	Uploaded 2021-02-16	Repair queued
44 CFR sec 206-110.pdf	Supplementary Document	Uploaded 2021-02-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
41292	Disaster Assistance Registration	Form	Modified	Application / Registration for Disaster Assistance (paper, Spanish)
41292	Disaster Assistance Registration	Form	Modified	Application for Disaster Assistance (paper, English)
41292	Disaster Assistance Registration	Form	Modified
258547	Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264		Modified
258546	Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263		Modified
258545	Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262		Modified
258544	Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261		Modified
258543	Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260		Modified
258542	Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259		Modified
258541	Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258		Modified
258539	Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257		Modified
258538	Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256		Modified
258537	Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255		Modified
251399	Request for Information (RFI) (Funeral Verification)		Unchanged
248900	Request for Information (RFI) (Occupancy Verification)		Unchanged
248899	Request for Information (RFI) (Ownership Verification)		Unchanged
208764	Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)	Other-Letter	Unchanged
178884	Declaration and Release	Form	Unchanged	Declaration and Release Form (Spanish)
178884	Declaration and Release	Form	Unchanged	Declaration and Release Form (English)
178884	Declaration and Release	Form	Unchanged
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged	Temporary Housing Program - Receipt for Government Property (English)
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged	Temporary Housing Progam-Receipt for Government Property (Spanish)
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged
178839	Internet Application Registration For Disaster Assistance	Form and Instruction	Unchanged	Self Assessment Questions
178839	Internet Application Registration For Disaster Assistance	Form and Instruction	Unchanged	Internet Application Registration For Disaster Assistance (Spanish)
178839	Internet Application Registration For Disaster Assistance	Form and Instruction	Unchanged	Internet Application Registration For Disaster Assistance (English)
178839	Internet Application Registration For Disaster Assistance	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1660-0002	ICR Reference No: 202307-1660-002
Status: Historical Active	Previous ICR Reference No: 202212-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Disaster Assistance Registration
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/31/2023
Terms of Clearance: The previous terms of clearance have been adjusted. FEMA will submit a nonsubstantive change request memorializing non-substantive changes made in response to user testing and updating the collection to reflect the final version released at launched by September 27th, 2023. During this time, FEMA will continue to engage with OMB on all matters regarding the rollout, user testing, and PRA compliance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	06/30/2026	06/30/2026
Responses	1,684,234	0	1,684,234
Time Burden (Hours)	476,030	0	476,030
Cost Burden (Dollars)	0	0	0

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Abstract: The forms in this collection are used to obtain pertinent information to provide financial assistance, and if necessary, direct assistance to eligible individuals and households who, as a direct result of a disaster or emergency, have uninsured or under-insured, necessary or serious expenses they are unable to meet. This revision of a currently approved information collection will improve the applicant’s experience with the disaster assistance registration process by providing a simpler, more intuitive interface and limiting required responses to those needed based on their needs. These changes will rebuild trust in the Federal Government by promoting transparency of FEMA’s Disaster Assistance application process.

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Authorizing Statute(s): US Code: 42 USC 5174 Name of Law: Disaster Mitigation Act of 2000
   PL: Pub.L. 93 - 288 0000 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
   PL: Pub.L. 116 - 260 133 Name of Law: Consolidated Appropriations Act, of 2021
   US Code: 8 USC 1601 Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 73018	11/28/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10921	02/22/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

table that charts list of burden

IC Title	Form No.	Form Name
Declaration and Release	FF-104-FY-21-128 (formerly 009-0-3), FF-104-FY-21-128-A (formerly 009-0-4)	Declaration and Release Form (English) ,   Declaration and Release Form (Spanish)
Disaster Assistance Registration	FF-104-FY-21-122 (formerly 009-0-1), FF-104-FY-21-122-A (formerly 009-0-2)	Application for Disaster Assistance (paper, English) ,   Application / Registration for Disaster Assistance (paper, Spanish)
Internet Application Registration For Disaster Assistance	FF-104-FY-21-125 (formerly 009-0-1Int), FF-104-FY-21-125-A (formerly 009-0-1Int), Self Assessment Questions	Internet Application Registration For Disaster Assistance (English) ,   Internet Application Registration For Disaster Assistance (Spanish) ,   Self Assessment Questions
Manufactured Housing Unit Revocable License and Receipt for Government Property	FF-104-FY-21-127-A (formerly 009-0-6), FF-104-FY-21-127 (formerly 009-0-5)	Temporary Housing Progam-Receipt for Government Property (Spanish) ,   Temporary Housing Program - Receipt for Government Property (English)
Request for Information (RFI) (Funeral Verification)
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)
Request for Information (RFI) (Occupancy Verification)
Request for Information (RFI) (Ownership Verification)
Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259
Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264
Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255
Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,684,234	1,684,234	0	0	0	0
Annual Time Burden (Hours)	476,030	476,030	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $33,303,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/31/2023

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