Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Declaration and Release Unchanged 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 Unchanged 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 Unchanged 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 Unchanged 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) (Funeral Verification) Modified 200000 33340 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) Modified 15525 7763 0
Request for Information (RFI) (Ownership Verification) Modified 23121 11561 0
Streamline Registration Intake for Disaster Assistance, Childcare Expenses New 12600 2730 0
Streamline Registration Intake for Disaster Assistance, Emergency Needs New 100700 20140 0
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage New 102400 18770 0
Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) New 12600 3150 0
Streamline Registration Intake for Disaster Assistance, Funeral Expenses New 200000 40000 0
Streamline Registration Intake for Disaster Assistance, Home Damage New 135000 33750 0
Streamline Registration Intake for Disaster Assistance, Lodging Expenses New 1700 340 0
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses New 2200 550 0
Streamline Registration Intake for Disaster Assistance, Personal Property Damage New 50800 13548 0
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage New 5000 1084 0
Tele-Registration Application For Disaster Assistance Removed 0 0 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 Removed 0 0 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: 1684234 476030 0  
To view an IC, click on IC Title