Generic Clearance for Notice of Loss and Proof of Loss
No material or nonsubstantive change to a currently approved collection
No
Regular
Approved without change
04/05/2024
04/04/2024
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
11/30/2026
11/30/2026
11/30/2026
1,149,000
0
287,250
1,149,000
0
732,490
126,427,860
0
31,606,900
The Federal Emergency Management Agency (FEMA) will use the collected information to commence the process and procedures for claimants to seek compensation for injury or loss of property resulting from the Hermitâs Peak/Calf Canyon Fire and other fires that meet the criteria. Affected state, local and Tribal governments, private sector businesses, not-for-profit organizations, and individuals and households that suffered injuries resulting from fires will be eligible to apply for compensation. Claimants will submit a Notice of Loss to the Agency, meet with a FEMA Claims Reviewer, obtain documentation needed to substantiate claims, sign a Proof of Loss, and complete and return a Release and Certification form.
FEMA Form FF-104-FY-22-252-A, FEMA Forn FF-104-FY-22-231-A, FEMA Form FF-104-FY-22-231, FEMA Form FF-104-FY-22-253, FEMA Form FF-104-FY-22-253-A, FEMA Form FF-104-FY-22-230, FEMA Form FF-104-FY-22-230-A, FEMA Form FF-104-FY-22-254, FEMA Form FF-104-FY-22-252, FEMA Form FF-104-FY-22-254-A, FEMA Form FF-104-FY-22-251, FEMA Form FF-104-FY-22-251-A
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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
1,149,000
287,250
0
861,750
0
0
Annual Time Burden (Hours)
1,149,000
732,490
0
416,510
0
0
Annual Cost Burden (Dollars)
126,427,860
31,606,900
0
94,820,960
0
0
Yes
Miscellaneous Actions
No
FEMA is revising the instruments already submitted under this generic collection and has several more to add. We are asking to increase the allotted number of burden hours to accommodate both this round of revision and another planned round of revision.
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:
(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;
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.
Generic Clearance for Notice of Loss and Proof of Loss