Disaster Assistance Registration

OMB 1660-0002

Disaster Assistance Registration is a program used to provide financial assistance and, if necessary, direct assistance to eligible individuals and households who, as a direct result of a disaster, have uninsured or under-insured, necessary expenses and serious needs and are unable to meet such expenses or needs through other financial means.

The latest form for Disaster Assistance Registration expires 2022-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FF-104-FY-21-122 ( Disaster Assistance Registration Form
Form FEMA Form FF-104-F Tele-Registration Application for COVID-19 Funeral Assistance Form
Form FEMA Form FF-104-F Tele-Registration Application for Disaster Assistance (English and Spanish) Form
Form FF-104-FY-21-128 ( Declaration and Release Form
Form FF-104-FY-21-127-A Manufactured Housing Unit Revocable License and Receipt for Government Property Form
Form FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistance Form and Instruction
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx Supplementary Document
DAIP Roadmap (2022-2024).pptx Supplementary Document
1660-0002 - Published 30-Day Revision FRN - 2024 01 16.pdf Supplementary Document
1660-0002 - Published 60-Day Revision FRN - 2023 10 19.pdf Supplementary Document
OCC and OWN letters mock up Final.docx Supplementary Document
1600-0002 - Supporting Statement A for Streamline RI - 2024 01 24 clean.docx Supporting Statement A
Stafford Act Booklet 042213, (Sec 408).pdf Supplementary Document
Title 44 cfr 206.117.pdf Supplementary Document
44 CFR sec 206-110.pdf Supplementary Document
Disaster Assistance Registration Form
Tele-Registration Application for COVID-19 Funeral Assistance Form
Tele-Registration Application for Disaster Assistance (English and Spanish) Form
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, Medical or Dental Expenses FF-104-FY-22-263
Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262
Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261
Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255
Request for Information (RFI) (Funeral Verification)
Request for Information (RFI) (Occupancy Verification)
Request for Information (RFI) (Ownership Verification)
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items) Other-Letter
Declaration and Release Form
Manufactured Housing Unit Revocable License and Receipt for Government Property Form
Internet Application Registration For Disaster Assistance Form and Instruction

All Historical Document Collections

202310-1660-007 Approved with change	Revision of a currently approved collection	2024-01-24
202307-1660-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-07-31
202212-1660-005 Approved with change	Revision of a currently approved collection	2023-02-23
202201-1660-005 Approved without change	Revision of a currently approved collection	2022-02-25
202108-1660-004 Approved with change	Revision of a currently approved collection	2021-08-16
202107-1660-002 Withdrawn and continue	Extension without change of a currently approved collection	2021-08-03
202103-1660-006 Approved with change	Revision of a currently approved collection	2021-03-18
202101-1660-005 Approved without change	Revision of a currently approved collection	2021-03-01
202006-1660-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-07-30
202003-1660-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-04-16
201812-1660-002 Approved with change	Revision of a currently approved collection	2019-01-31
201809-1660-001 Approved with change	Revision of a currently approved collection	2018-09-15
201711-1660-003 Approved without change	Revision of a currently approved collection	2017-11-27
201709-1660-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-10-04
201708-1660-004 Approved without change	Reinstatement without change of a previously approved collection	2017-08-28
201404-1660-002 Approved without change	Revision of a currently approved collection	2014-05-30
201309-1660-005 Approved without change	Revision of a currently approved collection	2013-11-13
201111-1660-002 Approved without change	Revision of a currently approved collection	2012-04-10
201012-1660-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-01-26
201010-1660-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-10-21
201005-1660-003 Approved without change	Revision of a currently approved collection	2010-05-12
200702-1660-002 Approved without change	Revision of a currently approved collection	2007-02-28
200410-1660-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2004-10-05
200307-1660-001 Approved without change	Revision of a currently approved collection	2003-07-15
200303-1660-002 Approved without change	Revision of a currently approved collection	2003-03-01

OMB Details

Disaster Assistance Registration

Federal Enterprise Architecture: Disaster Management - Emergency Response

Form 009-0-1	Application / Registration for Disaster Assistance	Paper Only	Form
Form 009-0-2	Application / Registration for Disaster Assistance	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.