Disaster Assistance Registration

ICR 202406-1660-004

OMB: 1660-0002

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
41292 Unchanged
264097 Unchanged
264096 Unchanged
258547
Unchanged
258546
Unchanged
258545
Unchanged
258544
Unchanged
258543
Unchanged
258542
Unchanged
258541
Unchanged
258539
Unchanged
258538
Unchanged
258537
Unchanged
251399
Unchanged
248900
Unchanged
248899
Unchanged
208764 Modified
178884 Unchanged
178883 Unchanged
178839 Removed
ICR Details
1660-0002 202406-1660-004
Received in OIRA 202310-1660-007
DHS/FEMA Change Request - IFR Equity
Disaster Assistance Registration
No material or nonsubstantive change to a currently approved collection   No
Regular 06/28/2024
  Requested Previously Approved
03/31/2027 03/31/2027
1,611,201 2,366,134
423,787 700,954
0 0

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 help rebuild trust in the Federal Government by promoting transparency of FEMA’s Disaster Assistance application process.

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
  
None

Not associated with rulemaking

  88 FR 72092 10/19/2023
89 FR 2634 01/16/2024
No

19
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
Tele-Registration Application for COVID-19 Funeral Assistance FEMA Form FF-104-FY-21-123-FA Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance
Tele-Registration Application for Disaster Assistance (English and Spanish) FEMA Form FF-104-FY-21-123 (formerly 009-0-1T), FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T) Tele-Registration, Disaster Assistance Registration (English) ,   Tele-Registration, Registro Para Asistencia De Desastre (Spanish)

  Total Request 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 1,611,201 2,366,134 0 0 -754,933 0
Annual Time Burden (Hours) 423,787 700,954 0 0 -277,167 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is an overall decrease of 52,521 burden hours mainly due to the removal of the Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A. Decreases were partially offset by unanticipated return of previously removed instruments. An additional of 25,129 in burden hours was from the addition of the Streamline RI flows (Home, Personal Property, Vehicle, Emergency Needs, Essential Utilities, Funeral, Childcare, Lodging, Medical/Dental, Misc.). FEMA Forms FF-104-FY-21-123 (formerly 009-0-1T, English) and FF-104-FY-21-123-A (formerly 009-0-1T, Spanish), Tele-Registration Application for Disaster Assistance currently remains in use; however, the Streamline RI flows will eventually replace these forms. FEMA Form FF-104-FY-21-123-COVID-FA (English), Tele-Registration, COVID-19 Funeral Assistance and COVID-19 Funeral from FEMA Template FT-104-FY-22-101 Request for Information (RFI) –Funeral Assistance (English) will remain in use as the application period was extended from June 1, 2024, to September 30, 2025. The Streamline RI for Funeral Expenses will not replace the form until the COVID-19 application period ends. The Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A) which was the hybrid internet application is no longer in use and has been removed. The Streamline RI public version replaced this form. There is an overall decrease of $3,923,400 mainly due to the removal of the Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A. Decreases were partially offset by unanticipated return of previously removed instruments. An additional $752,662 decrease in burden costs was due to the addition of the Streamline RI flows (Home, Personal Property, Vehicle, Emergency Needs, Essential Utilities, Funeral, Childcare, Lodging, Medical/Dental, Misc.). FEMA Forms FF-104-FY-21-123 (formerly 009-0-1T, English) and FF-104-FY-21-123-A (formerly 009-0-1T, Spanish), Tele-Registration Application for Disaster Assistance currently remains in use; however, the Streamline RI flows will eventually replace these forms. FEMA Form FF-104-FY-21-123-COVID-FA (English), Tele-Registration, COVID-19 Funeral Assistance and COVID-19 Funeral from FEMA Template FT-104-FY-22-101 Request for Information (RFI) – Funeral Assistance (English) will remain in use as the application period was extended from June 1, 2024 to September 30, 2025. The Streamline RI for Funeral Expenses will not replace the form until the COVID-19 application period ends. The tele-registration for COVID assistance was added back in because the registration period was extended. These hybrid call-centers we have either had to keep the call centers on to deal with disaster through the transition to Streamline RI. We did not expect this with the last revision. The Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A) which was the hybrid internet application is no longer in use and has been removed. The Streamline RI public version replaced this form.

$33,303,400
No
    Yes
    Yes
No
No
No
Yes
Krista Robinson 202 394-6377 [email protected]

  No

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.
06/28/2024


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