Tele-Registration Application for COVID-19 Funeral 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⚠️ Notice: This information collection may be referencing outdated material.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 FEMA Form FF-104-F Tele-Registration Application for COVID-19 Funeral Assistance Form
FEMA Form FF-104-F Funeral Assistance Tele-Registration for COVID-19 Funera FEMA FF-104-FY-21-123-FA, Tele-Registration, Funeral Assistance (English).pdf Form
FEMA Form FF-104-F Funeral Assistance Tele-Registration for COVID-19 Funera FEMA FF-104-FY-21-123-FA, Tele-Registration, Funeral Assistance (English).pdf Form

Information Collection (IC) Details

IC Title:	Tele-Registration Application for COVID-19 Funeral Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Need Instrument (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-104-FY-21-123-FA	Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance	FEMA FF-104-FY-21-123-FA, Tele-Registration, Funeral Assistance (English).pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title: DHS/FEMA-008 - Disaster Recovery Assistance Files	FR Citation: 87 FR 7852

Number of Respondents: 500,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500,000	500,000
Annual IC Time Burden (Hours)	183,350	183,350
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.