Materials Summary

Public Assistance Program

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Materials Summary Form and Instruction
FEMA Form FF-104-F Materials Summary Record FEMA Form FF-104-FY-21-138 Materials Summary Record.pdf portal.fema.gov Form and Instruction
FEMA Form FF-104-F Materials Summary Record FEMA Form FF-104-FY-21-138 Materials Summary Record.pdf portal.fema.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Materials Summary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206

Information Collection 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-21-138 (formerly 009-0-124)	Materials Summary Record	FEMA Form FF-104-FY-21-138 Materials Summary Record.pdf	https://portal.fema.gov	Yes	Yes	Fillable Printable

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 System of Records	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: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,920	1,920
Annual IC Time Burden (Hours)	480	480
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.