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
4th Batch of Hermit's Peak Instrument (New)
New
9575
7181
0
Form
FF-104-FY-24-122
Notice of Appeal Request Form
5th Batch of Hermit's Peak Instruments (Revised)
New
143625
691793
0
Form
FEMA Form FF-104-FY-22-251-A
Banking Information Form (Spanish)
Form
Form FF-104-FY-22-230-A
Notice of Loss (Spanish)
Form
FEMA Form FF-104-FY-22-253-A
Release and Certifications (Entity) - Partial Payment (Spanish)
Form
FEMA Form FF-104-FY-22-252-A
Release and Certifications (Individuals and Households) - Partial Payment (Spanish)
Form
FEMA Form FF-104-FY-22-231-A
Proof of Loss (Spanish)
6th Batch of Hermit's Peak Instruments (New)
New
114707
98876
0
Form
FF-104-FY-24-114-ES
Evacuation Information Worksheet (Spanish Version)
Form
FF-104-FY-24-115-ES
Evacuee Hosting (Spanish Version)
Form
FF-104-FY-24-116-A
Flood Insurance Assessment (Spanish Version)
Form
FF-104-FY-24-122-ES
Notice of Appeal (Spanish Version)
Form
FF-104-FY-24-121-ES
Risk Reduction Proposal Form (Spanish Version)
Form
FF-104-FY-24-117-ES
Smoke & Ash Cleaning Form (Spanish Version)
7th Batch of Hermit's Peak Instruments (New)
New
9576
3160
0
Form
FF-104-FY-25-100
Notice of Request for Arbitration Form (English)
Form
FEMA Form FF-104-FY-25-100-A
Notice of Request for Arbitration Form (Spanish)
8th Batch of Hermit's Peak Instruments (New)
New
19246
6351
0
Form
FEMA Form FF-104-FY-25-102
Banking Information Form (Entity)
Form
FEMA Form FF-104-FY-25-102-A
Banking Information Form (Entity) Spanish
Generic Clearance for Notice of Loss and Proof of Loss
Unchanged
28725
696581
0
Form
FEMA Form FF-104-FY-22-231
#1 Proof of Loss (English)
Form
FEMA Forn FF-104-FY-22-231-A
#1 Proof of Loss (Spanish)
Form
FEMA Form FF-104-FY-22-252
#2 Release and Certification (Individual/Household)- Partial Payment (English)
Form
FEMA Form FF-104-FY-22-252-A
#2 Release and Certification (Individual/Household)- Partial Payment (Spanish)
Form
FEMA Form FF-104-FY-22-253
#3 Release and Certification (Entity)- Partial Payment (English)
Form
FEMA Form FF-104-FY-22-253-A
#3 Release and Certification (Entity)- Partial Payment (Spanish)
Form
FEMA Form FF-104-FY-22-230
#4 Notice of Loss (English)
Form
FEMA Form FF-104-FY-22-230-A
#4 Notice of Loss (Spanish)
Form
FEMA Form FF-104-FY-22-254
#5 Request to Supplement Claim (English)
Form
FEMA Form FF-104-FY-22-254-A
#5 Request to Supplement Claim (Spanish)
Form
FEMA Form FF-104-FY-22-251
Banking Information Form (English)
Form
FEMA Form FF-104-FY-22-251-A
Banking Information Form (Spanish)
Second Batch of Hermits Peak Instruments (Revised)
New
143625
691799
0
Form
FEMA Form FF-104-FY-22-230
Notice of Loss
Form
FEMA Form FF-104-FY-22-230-A
Formulario de Notificacion de Perdida
Form
FEMA Form FF-104-FY-22-231
Proof of Loss
Form
FEMA Form FF-104-FY-22-231-A
Comprobante de Perdida - Incendio en Hermit's Peak/Calf Canyon
Form
FEMA Form FF-104-FY-22-251
Banking Information Form
Form
FEMA Form FF-104-FY-22-251-A
Formulario de Informacion Bancaria
Form
FEMA Form FF-104-FY-22-252
Release and Certification (Individual/Household) - Partial
Form
FEMA Form FF-104-FY-22-253
Release and Certification (Entity) - Partial Payment
Third Batch of Hermits Peak Instruments (New)
New
105133
91634
0
Form
FEMA Form FF-104-FY-24-114
Evacuation Information Worksheet
Form
FEMA Form FF-104-FY-24-115
Evacuee Hosting
Form
FEMA Form FF-104-FY-24-116
Flood Insurance Assessment
Form
FEMA Form FF-104-FY-24-117
Smoke & Ash Cleaning
Form
FEMA Form FF-104-FY-24-121
Risk Reduction Proposal
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
574212
2287375
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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