OMB control number

Public Assistance Program

OMB 1660-0017 · DHS/FEMA.

OMB 1660-0017

The information collected is required for the Public Assistance (PA) Program eligibility determinations, grants management, and compliance with other Federal laws and regulations. The Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. § 5121-5207 (the Stafford Act), authorizes grants to assist State, Tribal, and local governments and certain private non-profit entities with the response to and recovery from disasters following Presidentially declared major disasters and emergencies.

The latest form for Public Assistance Program expires 2027-06-30 and is listed under ICR 202402-1660-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form FEMA Form FF-104-F Request for Public AssistanceForm and Instruction
Form FEMA Form FF-104-F Tribe Administrative PlanForm and Instruction
Form FEMA Form FF-104-F Time Extension RequestForm and Instruction
Form FEMA Form FF-104-F Damage InformationForm and Instruction
Form FEMA Form FF-104-F Project Application for Management CostsForm and Instruction
Form FEMA Form FF-104-F Project Application for Building Code and Floodplain Management and EnforcementForm and Instruction
Form FEMA Form FF-104-F Project Application for Infrastructure RestorationForm and Instruction
Form FEMA Form FF-104-F Project Application for COVID-19Form and Instruction
Form FEMA Form FF-104-F Project Application for Emergency Protective MeasuresForm and Instruction
Form FEMA Form FF-104-F Project Application for Debris RemovalForm and Instruction
Form FEMA Form FF-104-F Pre-Approval RequestForm and Instruction
Form FEMA Form FF-104-F Donated Labor Sign-inForm and Instruction
Form FEMA Form FF-104-F Impact ListForm and Instruction
Form FEMA Form FF-104-F Applicant Impact SurveyForm and Instruction
Form FEMA Form FF-104-F Recipient Incident InformationForm and Instruction
Form FEMA Form FF-104-F Organization ProfileForm and Instruction
Form FEMA Template 104- Equitable Vaccine Administration Information Submission TemplateForm and Instruction
Form FEMA Form FF-104-F State Administrative PlanForm and Instruction
Form FEMA Form FF-104-F Force Account Equipment SummaryForm and Instruction
Form FEMA Form FF-104-F Contract Work SummaryForm and Instruction
Form FEMA Form FF-104-F Rented Equipment SummaryForm and Instruction
Form FEMA Form FF-104-F Materials SummaryForm and Instruction
Form FEMA Form FF-104-F Force Account Labor Summary RecordForm and Instruction
Form FEMA Form FF-104-F Applicant's Benefits Calculation WorksheetForm and Instruction
Form FEMA Form FF-104-F Quarterly Progress ReportForm and Instruction
20160825 FEMA FACTRAX Screenshots.pdf Supplementary Document
FF-104-FY-22-247_Hazard Mitigation Addendum_Final.docx Supplementary Document
FF-104-FY-22-246_Environmental and Historic Preservation Info_Final.docx Supplementary Document
1660-0017- Supporting Statement A 2024 05 13 clean.docxSupporting Statement A
1660-0110 - Published 30-Day Extension FRN - 2024 05 16.pdf Supplementary Document
1660-0017 - Published 60-Day FRN - 2024 01 31.pdf Supplementary Document
privacy-pia-fema-hmgp.pdf Supplementary Document
privacy_pia_FEMA_GrantManagementPrograms_February2015.pdf Supplementary Document
SORN, DHS-FEMA-009 HMA, PA, and CDL SORN (78 FR 16015, 2014 03 24).pdf Supplementary Document
stafford_act.pdf Supplementary Document
CFR-2011-title44-vol1-part206.pdf Supplementary Document
Request for Public Assistance Form and Instruction
Tribe Administrative Plan Form and Instruction
Time Extension Request Form and Instruction
Damage Information Form and Instruction
Project Application for Management Costs Form and Instruction
Project Application for Building Code and Floodplain Management and Enforcement Form and Instruction
Project Application for Infrastructure Restoration Form and Instruction
Project Application for COVID-19 Form and Instruction
Project Application for Emergency Protective Measures Form and Instruction
Project Application for Debris Removal Form and Instruction
Pre-Approval Request Form and Instruction
Donated Labor Sign-in Form and Instruction
Impact List Form and Instruction
Applicant Impact Survey Form and Instruction
Recipient Incident Information Form and Instruction
Organization Profile Form and Instruction
Equitable Vaccine Administration Information Submission Template Form and Instruction
State Administrative Plan Form and Instruction
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita Information collection
Request for Appeals and Recommendation Information collection
Force Account Equipment Summary Form and Instruction
Contract Work Summary Form and Instruction
Rented Equipment Summary Form and Instruction
Materials Summary Form and Instruction
Force Account Labor Summary Record Form and Instruction
Applicant's Benefits Calculation Worksheet Form and Instruction
Quarterly Progress Report Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202402-1660-004 Revision of a currently approved collection 2024-05-17 Approved without change
202311-1660-001 Revision of a currently approved collection 2023-11-02 Approved without change
202212-1660-015 Revision of a currently approved collection 2023-03-14 Approved with change
202208-1660-001 Revision of a currently approved collection 2022-09-13 Approved without change
202109-1660-002 Revision of a currently approved collection 2021-09-16 Approved without change
202107-1660-001 Revision of a currently approved collection 2021-07-01 Comment filed on proposed rule and continue
202105-1660-001 No material or nonsubstantive change to a currently approved collection 2021-06-08 Approved without change
202103-1660-008 Revision of a currently approved collection 2021-04-16 Approved without change
202003-1660-001 Revision of a currently approved collection 2020-03-31 Approved without change
201902-1660-001 Revision of a currently approved collection 2019-05-10 Approved without change
201607-1660-002 Reinstatement with change of a previously approved collection 2016-09-23 Approved without change
201402-1660-005 No material or nonsubstantive change to a currently approved collection 2014-03-05 Approved without change
201307-1660-006 Revision of a currently approved collection 2013-07-09 Approved without change
201304-1660-001 Revision of a currently approved collection 2013-04-30 Approved with change
201001-1660-004 Revision of a currently approved collection 2010-02-25 Approved without change
200908-1660-003 Revision of a currently approved collection 2009-08-27 Approved without change
200807-1660-001 Revision of a currently approved collection 2008-10-17 Approved without change
200603-1660-010 No material or nonsubstantive change to a currently approved collection 2006-03-28 Approved without change
200509-1660-002 Revision of a currently approved collection 2005-09-23 Approved without change
200506-1660-005 No material or nonsubstantive change to a currently approved collection 2005-06-27 Approved without change
200303-1660-017 Revision of a currently approved collection 2003-03-01 Approved without change

OMB Details

Request for Public Assistance

Federal Enterprise Architecture: Disaster Management - Disaster Repair and Restore

Information collection instruments
FormNameElectronic accessType
Form FEMA Form FF-104-FY-21-131 (formerly 009-0-49)Request for Public Assistanceportal.fema.gov/famsVuWeb/homeForm and instruction
Form FEMA Form FF-104-FY-121-131 (formerly 009-0-49)Request for Public AssistanceFillable FileableForm and instruction

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