Information Collection

Authorization for the Release of Information Under the Privacy Act

IC 242027 under ICR 202503-1660-004 · OMB 1660-0061.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-104-F Authorization for the Release of Information Under the Privacy Act	Form and Instruction
Form FEMA Form FF-104-F Authorization for the Release of Information Under the Privacy Act Authorization for the Release of Information Under the Privacy Act	Form and Instruction
FEMA Form FF-104-F Authorization for the Release of Information Under the P FEMA Form FF-104-FY-21-118 (formerly 140-003d-1).pdf	Form and Instruction
FEMA Form FF-104-F Authorization for the Release of Information Under the P FEMA Form FF-104-FY-21-118 (formerly 140-003d-1).pdf	Form and Instruction

IC Title:

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 206.115

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-21-118 (formerly 140-003d-1)				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: 231

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	231	231
Annual IC Time Burden (Hours)	31	31
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.

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