View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1660-0002
ICR Reference No:
202406-1660-004
Status:
Historical Active
Previous ICR Reference No:
202310-1660-007
Agency/Subagency:
DHS/FEMA
Agency Tracking No:
Change Request - IFR Equity
Title:
Disaster Assistance Registration
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
09/30/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/28/2024
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2027
03/31/2027
03/31/2027
Responses
1,611,201
0
2,366,134
Time Burden (Hours)
423,787
0
700,954
Cost Burden (Dollars)
0
0
0
Abstract:
The forms in this collection are used to obtain pertinent information to provide financial assistance, and if necessary, direct assistance to eligible individuals and households who, as a direct result of a disaster or emergency, have uninsured or under-insured, necessary or serious expenses they are unable to meet. This revision of a currently approved information collection will improve the applicant’s experience with the disaster assistance registration process by providing a simpler, more intuitive interface and limiting required responses to those needed based on their needs. These changes will help rebuild trust in the Federal Government by promoting transparency of FEMA’s Disaster Assistance application process.
Authorizing Statute(s):
US Code:
42 USC 5174
Name of Law: Disaster Mitigation Act of 2000
PL:
Pub.L. 116 - 260 133
Name of Law: Consolidated Appropriations Act, of 2021
US Code:
8 USC 1601
Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
PL:
Pub.L. 93 - 288 0000
Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
88 FR 72092
10/19/2023
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 2634
01/16/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
19
IC Title
Form No.
Form Name
Declaration and Release
FF-104-FY-21-128-A (formerly 009-0-4), FF-104-FY-21-128 (formerly 009-0-3)
Declaration and Release Form (English)
,
Declaration and Release Form (Spanish)
Disaster Assistance Registration
FF-104-FY-21-122 (formerly 009-0-1), FF-104-FY-21-122-A (formerly 009-0-2)
Application for Disaster Assistance (paper, English)
,
Application / Registration for Disaster Assistance (paper, Spanish)
Internet Application Registration For Disaster Assistance
FF-104-FY-21-125 (formerly 009-0-1Int), FF-104-FY-21-125-A (formerly 009-0-1Int), Self Assessment Questions
Internet Application Registration For Disaster Assistance (English)
,
Internet Application Registration For Disaster Assistance (Spanish)
,
Self Assessment Questions
Manufactured Housing Unit Revocable License and Receipt for Government Property
FF-104-FY-21-127-A (formerly 009-0-6), FF-104-FY-21-127 (formerly 009-0-5)
Temporary Housing Progam-Receipt for Government Property (Spanish)
,
Temporary Housing Program - Receipt for Government Property (English)
Request for Information (RFI) (Funeral Verification)
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)
Request for Information (RFI) (Occupancy Verification)
Request for Information (RFI) (Ownership Verification)
Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259
Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264
Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255
Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257
Tele-Registration Application for COVID-19 Funeral Assistance
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)
FEMA Form FF-104-FY-21-123 (formerly 009-0-1T), FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T)
Tele-Registration, Disaster Assistance Registration (English)
,
Tele-Registration, Registro Para Asistencia De Desastre (Spanish)
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
1,611,201
2,366,134
0
0
-754,933
0
Annual Time Burden (Hours)
423,787
700,954
0
0
-277,167
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
There is an overall decrease of 52,521 burden hours mainly due to the removal of the Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A. Decreases were partially offset by unanticipated return of previously removed instruments. An additional of 25,129 in burden hours was from the addition of the Streamline RI flows (Home, Personal Property, Vehicle, Emergency Needs, Essential Utilities, Funeral, Childcare, Lodging, Medical/Dental, Misc.). FEMA Forms FF-104-FY-21-123 (formerly 009-0-1T, English) and FF-104-FY-21-123-A (formerly 009-0-1T, Spanish), Tele-Registration Application for Disaster Assistance currently remains in use; however, the Streamline RI flows will eventually replace these forms. FEMA Form FF-104-FY-21-123-COVID-FA (English), Tele-Registration, COVID-19 Funeral Assistance and COVID-19 Funeral from FEMA Template FT-104-FY-22-101 Request for Information (RFI) –Funeral Assistance (English) will remain in use as the application period was extended from June 1, 2024, to September 30, 2025. The Streamline RI for Funeral Expenses will not replace the form until the COVID-19 application period ends. The Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A) which was the hybrid internet application is no longer in use and has been removed. The Streamline RI public version replaced this form. There is an overall decrease of $3,923,400 mainly due to the removal of the Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A. Decreases were partially offset by unanticipated return of previously removed instruments. An additional $752,662 decrease in burden costs was due to the addition of the Streamline RI flows (Home, Personal Property, Vehicle, Emergency Needs, Essential Utilities, Funeral, Childcare, Lodging, Medical/Dental, Misc.). FEMA Forms FF-104-FY-21-123 (formerly 009-0-1T, English) and FF-104-FY-21-123-A (formerly 009-0-1T, Spanish), Tele-Registration Application for Disaster Assistance currently remains in use; however, the Streamline RI flows will eventually replace these forms. FEMA Form FF-104-FY-21-123-COVID-FA (English), Tele-Registration, COVID-19 Funeral Assistance and COVID-19 Funeral from FEMA Template FT-104-FY-22-101 Request for Information (RFI) – Funeral Assistance (English) will remain in use as the application period was extended from June 1, 2024 to September 30, 2025. The Streamline RI for Funeral Expenses will not replace the form until the COVID-19 application period ends. The tele-registration for COVID assistance was added back in because the registration period was extended. These hybrid call-centers we have either had to keep the call centers on to deal with disaster through the transition to Streamline RI. We did not expect this with the last revision. The Internet Application for Disaster Assistance (FF-104-FY-21-125 and FF-104-FY-21-125-A) which was the hybrid internet application is no longer in use and has been removed. The Streamline RI public version replaced this form.
Annual Cost to Federal Government:
$33,303,400
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Yes
Agency Contact:
Krista Robinson 202 394-6377 krista.robinson@fema.dhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
06/28/2024