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Federal forms, ICRs, and supporting documents

OMB control number

Debt Collection Financial Statement

OMB 1660-0011 · DHS/FEMA.

OMB 1660-0011

FEMA Form FF-600-FY-22-102 (formerly 127-0-1) is used to collect information provided voluntarily by the debtor to evaluate the debtor’s financial abilities to determine if they qualify for a payment plan and set repayment terms, or determine a compromise to write-off a debt in part or in full. Financial information obtained is essential to evaluate the debtor’s ability for the payment of the debt in part or in full. Debt may be a recoupment of an ineligible disaster assistance payment or improper payment to an employee.

The latest form for Debt Collection Financial Statement expires 2028-01-31 and is listed under ICR 202503-1660-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form FEMA Form FF-600-F Debt Collection Financial StatementForm
Form FEMA Form FF-600-F Debt Collection Financial StatementForm
1660-0011 Supporting Statement A 04 30 2025.docxSupporting Statement A
1660-0011 Supporting Statement A 04 30 2025.docxSupporting Statement A
Public Law 104-134, CHAPTER 10 DEBT COLLECTION IMPROVEMENTS.pdfSupplementary Document
Public Law 104-134, CHAPTER 10 DEBT COLLECTION IMPROVEMENTS.pdf Supplementary Document
31 CFR Parts 900 - 904.pdfSupplementary Document
31 CFR Parts 900 - 904.pdf Supplementary Document
31 USC 3701.pdfSupplementary Document
31 USC 3701.pdf Supplementary Document
1660-0011 - Published 30-Day Extension FRN - 2025 04 30.pdfSupplementary Document
1660-0011 - Published 30-Day Extension FRN - 2025 04 30.pdf Supplementary Document
6 CFR Part 11, eCFR — Code of Federal Regulations.mhtSupplementary Document
6 CFR Part 11, eCFR — Code of Federal Regulations.mht Supplementary Document
1660-0011 - Published 60-Day Extention FRN - 2025 01 16.pdfSupplementary Document
1660-0011 - Published 60-Day Extention FRN - 2025 01 16.pdf Supplementary Document
Title 31 Sec 3711.pdfSupplementary Document
Title 31 Sec 3711.pdf Supplementary Document
Debt Collection Financial Statement Form
Debt Collection Financial Statement Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202503-1660-001 Extension without change of a currently approved collection 2025-05-20
202006-1660-009 Reinstatement without change of a previously approved collection 2021-02-24 Approved with change
201707-1660-002 Revision of a currently approved collection 2017-08-31 Approved without change
201404-1660-005 Revision of a currently approved collection 2014-06-30 Approved without change
201101-1660-007 Extension without change of a currently approved collection 2011-03-29 Approved without change
200801-1660-001 Revision of a currently approved collection 2008-02-19 Approved without change
200503-1660-003 Revision of a currently approved collection 2005-03-29 Approved without change
200303-1660-011 Revision of a currently approved collection 2003-03-01 Approved without change