Disaster Assistance Registration

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FF-104-FY-21-122-A Application / Registration for Disaster Assistance (paper, Spanish)	Form	Unchanged	Available
Form FF-104-FY-21-122-A Application / Registration for Disaster Assistance (paper, Spanish)	Form	Unchanged	Available
Form FF-104-FY-21-122 ( Application for Disaster Assistance (paper, English)	Form	Unchanged	Available
Form FF-104-FY-21-122 ( Application for Disaster Assistance (paper, English)	Form	Unchanged	Available
Form FEMA Form FF-104-F Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance	Form	Unchanged	Available
Form FEMA Form FF-104-F Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance	Form	Unchanged	Available
Form FEMA Form FF-104-F Tele-Registration, Registro Para Asistencia De Desastre (Spanish)	Form	Unchanged	Available
Form FEMA Form FF-104-F Tele-Registration, Registro Para Asistencia De Desastre (Spanish)	Form	Unchanged	Available
Form FEMA Form FF-104-F Tele-Registration, Disaster Assistance Registration (English)	Form	Unchanged	Available
Form FEMA Form FF-104-F Tele-Registration, Disaster Assistance Registration (English)	Form	Unchanged	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration	Form	Modified	Available
Form FF-104-FY-21-128-A Declaration and Release Form (Spanish)	Form	Unchanged	Available
Form FF-104-FY-21-128-A Declaration and Release Form (Spanish)	Form	Unchanged	Available
Form FF-104-FY-21-128 ( Declaration and Release Form (English)	Form	Unchanged	Available
Form FF-104-FY-21-128 ( Declaration and Release Form (English)	Form	Unchanged	Available
Form FF-104-FY-21-127 ( Temporary Housing Program - Receipt for Government Property (English)	Form	Unchanged	Available
Form FF-104-FY-21-127 ( Temporary Housing Program - Receipt for Government Property (English)	Form	Unchanged	Available
Form FF-104-FY-21-127-A Temporary Housing Progam-Receipt for Government Property (Spanish)	Form	Unchanged	Available
Form FF-104-FY-21-127-A Temporary Housing Progam-Receipt for Government Property (Spanish)	Form	Unchanged	Available
1660-0002_Registration Intake Non-Substantive Changes_03.16.2026 V2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2026-03-20	Available
1660-0002_Registration Intake Non-Substantive Changes_03.16.2026 V2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2026-03-20	Available
83CIAMODUPDATES3.16.26v2.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2026-03-20	Available
83CIAMODUPDATES3.16.26v2.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2026-03-20	Available
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx	Supplementary Document	Uploaded 2023-02-23	Available
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx	Supplementary Document	Uploaded 2023-02-23	Available
DAIP Roadmap (2022-2024).pptx	Supplementary Document	Uploaded 2023-02-23	Available
DAIP Roadmap (2022-2024).pptx	Supplementary Document	Uploaded 2023-02-23	Available
1660-0002 - Published 30-Day Revision FRN - 2024 01 16.pdf	Supplementary Document	Uploaded 2024-01-16	Available
1660-0002 - Published 30-Day Revision FRN - 2024 01 16.pdf	Supplementary Document	Uploaded 2024-01-16	Available
1660-0002 - Published 60-Day Revision FRN - 2023 10 19.pdf	Supplementary Document	Uploaded 2023-10-27	Available
1660-0002 - Published 60-Day Revision FRN - 2023 10 19.pdf	Supplementary Document	Uploaded 2023-10-27	Available
OCC and OWN letters mock up Final.docx	Supplementary Document	Uploaded 2021-08-16	Available
OCC and OWN letters mock up Final.docx	Supplementary Document	Uploaded 2021-08-16	Available
1600-0002 - Supporting Statement A - 2025 08 20 clean.docx	Supporting Statement A	Uploaded 2025-09-05	Available
1600-0002 - Supporting Statement A - 2025 08 20 clean.docx	Supporting Statement A	Uploaded 2025-09-05	Available
Stafford Act Booklet 042213, (Sec 408).pdf	Supplementary Document	Uploaded 2021-02-16	Available
Stafford Act Booklet 042213, (Sec 408).pdf	Supplementary Document	Uploaded 2021-02-16	Available
Title 44 cfr 206.117.pdf	Supplementary Document	Uploaded 2021-02-16	Available
Title 44 cfr 206.117.pdf	Supplementary Document	Uploaded 2021-02-16	Available
44 CFR sec 206-110.pdf	Supplementary Document	Uploaded 2021-02-16	Available
44 CFR sec 206-110.pdf	Supplementary Document	Uploaded 2021-02-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
41292	Disaster Assistance Registration	Form	Unchanged	Application / Registration for Disaster Assistance (paper, Spanish)
41292	Disaster Assistance Registration	Form	Unchanged	Application / Registration for Disaster Assistance (paper, Spanish)
41292	Disaster Assistance Registration	Form	Unchanged	Application for Disaster Assistance (paper, English)
41292	Disaster Assistance Registration	Form	Unchanged	Application for Disaster Assistance (paper, English)
264097	Tele-Registration Application for COVID-19 Funeral Assistance	Form	Unchanged	Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance
264097	Tele-Registration Application for COVID-19 Funeral Assistance	Form	Unchanged	Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance
264096	Tele-Registration Application for Disaster Assistance (English and Spanish)	Form	Unchanged	Tele-Registration, Registro Para Asistencia De Desastre (Spanish)
264096	Tele-Registration Application for Disaster Assistance (English and Spanish)	Form	Unchanged	Tele-Registration, Registro Para Asistencia De Desastre (Spanish)
264096	Tele-Registration Application for Disaster Assistance (English and Spanish)	Form	Unchanged	Tele-Registration, Disaster Assistance Registration (English)
264096	Tele-Registration Application for Disaster Assistance (English and Spanish)	Form	Unchanged	Tele-Registration, Disaster Assistance Registration (English)
258547	Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264	Form	Modified	IA Modernization- RI Questions Online Registration
258547	Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264	Form	Modified	IA Modernization- RI Questions Online Registration
258546	Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263	Form	Modified	IA Modernization- RI Questions Online Registration
258546	Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263	Form	Modified	IA Modernization- RI Questions Online Registration
258545	Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262	Form	Modified	IA Modernization- RI Questions Online Registration
258545	Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262	Form	Modified	IA Modernization- RI Questions Online Registration
258544	Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261	Form	Modified	IA Modernization- RI Questions Online Registration
258544	Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261	Form	Modified	IA Modernization- RI Questions Online Registration
258543	Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260	Form	Modified	IA Modernization- RI Questions Online Registration
258543	Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260	Form	Modified	IA Modernization- RI Questions Online Registration
258542	Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259	Form	Modified	IA Modernization- RI Questions Online Registration
258542	Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259	Form	Modified	IA Modernization- RI Questions Online Registration
258541	Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258	Form	Modified	IA Modernization- RI Questions Online Registration
258541	Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258	Form	Modified	IA Modernization- RI Questions Online Registration
258539	Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257	Form	Modified	IA Modernization- RI Questions Online Registration
258539	Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257	Form	Modified	IA Modernization- RI Questions Online Registration
258538	Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256	Form	Modified	IA Modernization- RI Questions Online Registration
258538	Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256	Form	Modified	IA Modernization- RI Questions Online Registration
258537	Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255	Form	Modified	IA Modernization- RI Questions Online Registration
258537	Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255	Form	Modified	IA Modernization- RI Questions Online Registration
251399	Request for Information (RFI) (Funeral Verification)		Unchanged
248900	Request for Information (RFI) (Occupancy Verification)		Unchanged
248899	Request for Information (RFI) (Ownership Verification)		Unchanged
208764	Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)	Other-Letter	Unchanged
178884	Declaration and Release	Form	Unchanged	Declaration and Release Form (Spanish)
178884	Declaration and Release	Form	Unchanged	Declaration and Release Form (Spanish)
178884	Declaration and Release	Form	Unchanged	Declaration and Release Form (English)
178884	Declaration and Release	Form	Unchanged	Declaration and Release Form (English)
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged	Temporary Housing Program - Receipt for Government Property (English)
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged	Temporary Housing Program - Receipt for Government Property (English)
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged	Temporary Housing Progam-Receipt for Government Property (Spanish)
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property	Form	Unchanged	Temporary Housing Progam-Receipt for Government Property (Spanish)

ICR Details

OMB Control No: 1660-0002	ICR Reference No: 202603-1660-001
Status: Active	Previous ICR Reference No: 202509-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No: Change Request - IA Modernization
Title: Disaster Assistance Registration
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/22/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/14/2026
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	03/31/2027	03/31/2027
Responses	1,611,201	0	1,611,201
Time Burden (Hours)	423,787	0	423,787
Cost Burden (Dollars)	0	0	0

---

Abstract: 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.

---

Authorizing Statute(s): US Code: 42 USC 5174 Name of Law: Disaster Mitigation Act of 2000
   US Code: 8 USC 1601 Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
   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
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 72092	10/19/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 2634	01/16/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 19

table that charts list of burden

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-A (formerly 009-0-2), FF-104-FY-21-122 (formerly 009-0-1)	Application for Disaster Assistance (paper, English) ,   Application / Registration for Disaster Assistance (paper, Spanish)
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	FEMA Form FF-104-FY-22-261	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258	FEMA Form FF-104-FY-22-258	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259	FEMA Form FF-104-FY-22-259	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264	FEMA Form FF-104-FY-22-264	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260	FEMA Form FF-104-FY-22-260	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255	FEMA Form FF-104-FY-22-255	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262	FEMA Form FF-104-FY-22-262	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263	FEMA Form FF-104-FY-22-263	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256	FEMA Form FF-104-FY-22-256	IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257	FEMA Form FF-104-FY-22-257	IA Modernization- RI Questions Online Registration
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-A (formerly 009-0-1T), FEMA Form FF-104-FY-21-123 (formerly 009-0-1T)	Tele-Registration, Disaster Assistance Registration (English) ,   Tele-Registration, Registro Para Asistencia De Desastre (Spanish)

---

ICR Summary of Burden

table that charts list of burden

	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	1,611,201	1,611,201	0	0	0	0
Annual Time Burden (Hours)	423,787	423,787	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $33,303,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/14/2026

---