PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Declaration and Release
Modified
2300
77
0
Form
FF-104-FY-21-128 (formerly 009-0-3)
Declaration and Release Form (English)
Form
FF-104-FY-21-128-A (formerly 009-0-4)
Declaration and Release Form (Spanish)
Disaster Assistance Registration
Modified
2300
767
0
Form
FF-104-FY-21-122 (formerly 009-0-1)
Application / Registration for Disaster Assistance (paper, English)
Form
FF-104-FY-21-122-A (formerly 009-0-2)
Application / Registration for Disaster Assistance (paper, Spanish)
Internet Application Registration For Disaster Assistance
Modified
756600
277445
0
Form and Instruction
FF-104-FY-21-125 (formerly 009-0-1Int)
Internet Application Registration For Disaster Assistance (English)
Form and Instruction
FF-104-FY-21-125-A (formerly 009-0-1Int)
Internet Application Registration For Disaster Assistance (Spanish)
Form and Instruction
Self Assessment Questions
Self Assessment Questions
Manufactured Housing Unit Revocable License and Receipt for Government Property
Modified
9388
2347
0
Form
FF-104-FY-21-127-A (formerly 009-0-6)
Temporary Housing Progam-Receipt for Government Property (Spanish)
Form
FF-104-FY-21-127 (formerly 009-0-5)
Temporary Housing Program - Receipt for Government Property (English)
Request for Information (RFI) (COVID-19 Funeral Assistance)
New
500000
83350
0
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)
Modified
52000
8668
0
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Other-Letter
Request for Information (RFI) Occupancy Verification
Unchanged
15525
7763
0
Request for Information (RFI) Ownership Verification
Unchanged
23121
11561
0
Tele-Registration Application For Disaster Assistance
Modified
181900
66703
0
Form and Instruction
FF-104-FY-21-123 (formerly 009-01T)
Tele-Registration Application for Disaster Assistance (English)
Form and Instruction
Assement Questions
Assessment Questions
Form and Instruction
FF-104-FY-21-123-A (formerly 009-01T Spanish)
Tele-Registration Application for Disaster Assistance (Spanish)
Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA
Modified
500000
183350
0
Form and Instruction
FF-104-FY-21-123-COVID-FA (formerly 009-0-1T-COVID
Tele-Registration Application for COVID-19 Funeral Assistance (English)
Total burden requested under this ICR:
2043134
642031
0
To view an IC, click on IC Title