Request for Advance Disaster Assistance

Federal Assistance to Individuals and Households Program (IHP)

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Request for Advance Disaster Assistance Form
FEMA Form FF-104-F Request for Advance Disaster Assistance FEMA Form FF-104-FY-21-116 (formerly 009-0-95).pdf Form
FEMA Form FF-104-F Request for Advance Disaster Assistance FEMA Form FF-104-FY-21-116 (formerly 009-0-95).pdf Form

Information Collection (IC) Details

IC Title:	Request for Advance Disaster Assistance	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-104-FY-21-116 (formerly 009-0-95)	Request for Advance Disaster Assistance	FEMA Form FF-104-FY-21-116 (formerly 009-0-95).pdf		No		Paper Only

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: 381	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	381	381
Annual IC Time Burden (Hours)	44	44
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.