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 Modified 2300 767 0 Form FF-104-FY-21-122 (formerly 009-0-1) Application 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) Unchanged 200000 33340 0
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items) Unchanged 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
Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 Modified 12600 2730 0
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Modified 100700 20140 0
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Modified 102400 18770 0
Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264 Modified 12600 3150 0
Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 Modified 200000 40000 0
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Modified 135000 33750 0
Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 Modified 1700 340 0
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Modified 2200 550 0
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Modified 50800 13548 0
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Modified 5000 1084 0
Total burden requested under this ICR: 1684234 476030 0  
To view an IC, click on IC Title