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Federal forms, ICRs, and supporting documents

OMB control number

Notice of Loss and Proof of Loss

OMB 1660-0155 ยท DHS/FEMA.

OMB 1660-0155

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form FEMA Form FF-104-F Request to Supplement Claim - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Request to Supplement Claim - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Request to Supplement Claim - Private SectorForm and Instruction
Form FEMA Form FF-104-F Request to Supplement Claim - Private SectorForm and Instruction
Form FEMA Form FF-104-F Request to Supplement Claim - State, Local and Tribal GovernmentsForm and Instruction
Form FEMA Form FF-104-F Request to Supplement Claim - State, Local and Tribal GovernmentsForm and Instruction
Form FEMA Form FF-104-F Partial Payment Release and Certification Form - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Partial Payment Release and Certification Form - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Partial Payment Release and Certification Form (Entity) - Private SectorForm and Instruction
Form FEMA Form FF-104-F Partial Payment Release and Certification Form (Entity) - Private SectorForm and Instruction
Form FEMA Form FF-104-F Partial Payment Release and Certification Form (Entity) - State, Local and Tribal GovernmentsForm and Instruction
Form FEMA Form FF-104-F Partial Payment Release and Certification Form (Entity) - State, Local and Tribal GovernmentsForm and Instruction
Form FEMA Form FF-104-F Banking Information - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Banking Information - Private SectorForm and Instruction
Form FEMA Form FF-104-F Banking Information - Private SectorForm and Instruction
Form FEMA Form FF-104-F Banking Information - State, Local & Tribal GovernementForm and Instruction
Form FEMA Form FF-104-F Proof of Loss - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Proof of Loss - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Notice of Loss - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Notice of Loss - Individuals and HouseholdsForm and Instruction
Form FEMA Form FF-104-F Proof of Loss - Private SectorForm and Instruction
Form FEMA Form FF-104-F Proof of Loss - Private SectorForm and Instruction
Form FEMA Form FF-104-F Notice of Loss - Private SectorForm and Instruction
Form FEMA Form FF-104-F Notice of Loss - Private SectorForm and Instruction
Form FEMA Form FF-204-F Proof of Loss - State, Local, and Tribal GovernmentsForm and Instruction
Form FEMA Form FF-204-F Proof of Loss - State, Local, and Tribal GovernmentsForm and Instruction
Form FEMA Form FF-104-F Notice of Loss - State, Local, and Tribal GovernmentsForm and Instruction
FEMA_IFR Hermits Peak.pdf Supplementary Document
FEMA_IFR Hermits Peak.pdf Supplementary Document
1660-0155_Emergency Justification Memo_Hermits Peak Notice of Loss_ 02.8.2023.pdf Supplementary Document
1660-0155_Emergency Justification Memo_Hermits Peak Notice of Loss_ 02.8.2023.pdf Supplementary Document
1660-0155 - Supporting Statement A - 2023 02 10 clean.docxSupporting Statement A
Request to Supplement Claim - Individuals and Households Form and Instruction
Request to Supplement Claim - Individuals and Households Form and Instruction
Request to Supplement Claim - Private Sector Form and Instruction
Request to Supplement Claim - Private Sector Form and Instruction
Request to Supplement Claim - State, Local and Tribal Governments Form and Instruction
Request to Supplement Claim - State, Local and Tribal Governments Form and Instruction
Partial Payment Release and Certification Form - Individuals and Households Form and Instruction
Partial Payment Release and Certification Form - Individuals and Households Form and Instruction
Partial Payment Release and Certification Form (Entity) - Private Sector Form and Instruction
Partial Payment Release and Certification Form (Entity) - Private Sector Form and Instruction
Partial Payment Release and Certification Form (Entity) - State, Local and Tribal Governments Form and Instruction
Partial Payment Release and Certification Form (Entity) - State, Local and Tribal Governments Form and Instruction
Banking Information - Individuals and Households Form and Instruction
Banking Information - Individuals and Households Form and Instruction
Banking Information - Private Sector Form and Instruction
Banking Information - Private Sector Form and Instruction
Banking Information - State, Local & Tribal Governement Form and Instruction
Banking Information - State, Local & Tribal Governement Form and Instruction
Proof of Loss - Individuals and Households Form and Instruction
Proof of Loss - Individuals and Households Form and Instruction
Notice of Loss - Individuals and Households Form and Instruction
Notice of Loss - Individuals and Households Form and Instruction
Proof of Loss - Private Sector Form and Instruction
Proof of Loss - Private Sector Form and Instruction
Notice of Loss - Private Sector Form and Instruction
Notice of Loss - Private Sector Form and Instruction
Proof of Loss - State, Local, and Tribal Governments Form and Instruction
Proof of Loss - State, Local, and Tribal Governments Form and Instruction
Notice of Loss - State, Local, and Tribal Governments Form and Instruction
Notice of Loss - State, Local, and Tribal Governments Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202302-1660-001 Revision of a currently approved collection 2023-02-15 Approved without change
202211-1660-001 New collection (Request for a new OMB Control Number) 2022-11-10 Approved without change