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 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) (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 FF-104-FY-22-261 Modified 12600 2310 0
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Modified 100700 18458 0
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Modified 102400 11950 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 33340 0
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Modified 135000 31496 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 367 0
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Modified 50800 6772 0
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Modified 5000 750 0
Tele-Registration Application for COVID-19 Funeral Assistance New 500000 183350 0 Form FEMA Form FF-104-FY-21-123-FA Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance
Tele-Registration Application for Disaster Assistance (English and Spanish) New 181900 66703 0 Form FEMA Form FF-104-FY-21-123 (formerly 009-0-1T) Tele-Registration, Disaster Assistance Registration (English)
Form FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T) Tele-Registration, Registro Para Asistencia De Desastre (Spanish)
Total burden requested under this ICR: 2366134 700954 0  
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