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
Appeal of Program Decision
Unchanged
43591
10898
0
Other-Regulation
Appeal of Program Decision / Appeal Request
Unchanged
1426032
356508
0
Form and Instruction
FEMA Form FF-104-FY-22-229
Appeal of Program Decision / Appeal Request
Authorization for the Release of Information Under the Privacy Act
Modified
231
31
0
Form and Instruction
FEMA Form FF-104-FY-21-118 (formerly 140-003d-1)
Authorization for the Release of Information Under the Privacy Act
Authorization for the Release of Information Under the Privacy Act (Haitian Creole)
New
1
1
0
Authorization for the Release of Information Under the Privacy Act (Vietnamese)
New
1
1
0
Authorization for the Release of Information Under the Privacy Act (Yup'ik)
New
1
1
0
Form and Instruction
FEMA Form FF-104-FY-21-118-B
Piyunarqucirilriim Imirarkaa AassaQuucimaarkat Nallunairutet Alerquutiitggun
Autorización para la Divulgación de Información bajo el Acta de Privacidad
Unchanged
96
13
0
Form and Instruction
FEMA Form FF-104-FY-21-118-A (formerly 140-003d-1S
Authorization for the Release of Information Under the Privacy Act
Development of State Administrative Plan for the Other Needs Provison of IHP
Unchanged
4
8
0
Other-Regulation
Individual and Households Program Application for Continued Temporary Housing Assistance
Unchanged
52440
21852
0
Form and Instruction
FEMA Form FF-104-FY-21-115 (formerly 010-0-12)
Application for Continued Temporary Housing Assistance (Request for Continued Asisstance)
Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection
Unchanged
629
692
0
Form
FEMA Form FF-104-FY-21-114 (formerly 010-0-11)
Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection
Form and Instruction
FEMA Form FF-104-FY-21-114-A
Programa de Individuos y Familias Otras Necesidades Asistencia Seleccion de Opciones Administrativas
Individuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance
Unchanged
274576
59501
0
Form and Instruction
FEMA Form FF-104-FY-22-228
Individuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance
Programa De Individuos Y Familias Solicitud Suplementaria De Asistencia De Vivienda Temporal Continua
Unchanged
34596
7497
0
Form and Instruction
FEMA Form FF-104-FY-22-228-A
Programa De Individuos Y Familias Solicitud Suplementaria De Asistencia De Vivienda Temporal Continua
Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera
Unchanged
6632
2764
0
Form and Instruction
FEMA Form FF-104-FY-21-115-A (formerly 010-0-12S)
Solicitud para Continuar la Asistencia de Vivienda Temporera
Programa de Invididuos y Familias (IHP) Solicitud de Apelacion
Unchanged
179680
44920
0
Form and Instruction
FEMA Form FF-104-FY-22-229-A
Programa de Invididuos y Familias (IHP) Solicitud de Apelacion
Request for Advance Disaster Assistance
Unchanged
381
44
0
Form
FEMA Form FF-104-FY-21-116 (formerly 009-0-95)
Request for Advance Disaster Assistance
Request for Approval of Late Registration
Unchanged
4405
3524
0
Other-Regulation
Request to Stop Payment and Reissue Disaster Assistance Check
Unchanged
2922
195
0
Form and Instruction
FEMA Form FF-104-FY-21-117 (formerly 009-0-96)
Request to Stop Payment and Reissue Disaster Assistance Check
Solicitud de Adelanto de la Asistencia por Desastre
Unchanged
52
6
0
Form
FEMA Form FF-104-FY-21-116-A (formerly 009-0-95S)
Solicitud de Adelanto de la Asistencia por Desastre
Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre
Unchanged
780
52
0
Form and Instruction
FEMA Form FF-104-FY-21-117-A (formerly 009-0-96S)
Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre
Total burden requested under this ICR:
2027050
508508
0
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