Information Collection

Request to Stop Payment and Reissue Disaster Assistance Check

IC 242023 under ICR 202312-1660-001 · OMB 1660-0061.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0061 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Request to Stop Payment and Reissue Disaster Assistance Check	Form and Instruction
FEMA Form FF-104-F Request to Stop Payment and Reissue Disaster Assistance FEMA Form FF-104-FY-21-117 (formerly 009-0-96).pdf	Form and Instruction
FEMA Form FF-104-F Request to Stop Payment and Reissue Disaster Assistance FEMA Form FF-104-FY-21-117 (formerly 009-0-96).pdf	Form and Instruction

IC Title:

Request to Stop Payment and Reissue Disaster Assistance Check

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 206.115

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-21-117 (formerly 009-0-96)	Request to Stop Payment and Reissue Disaster Assistance Check	FEMA Form FF-104-FY-21-117 (formerly 009-0-96).pdf		No		Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records

Title: DHS/FEMA-008-Disaster Recovery Assistance Files

FR Citation: 78 FR 25282

Number of Respondents: 2,922

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,922	2,922
Annual IC Time Burden (Hours)	292	292
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.