Information Collection

Internet Application Registration For Disaster Assistance

IC 178839 under ICR 202201-1660-005 · OMB 1660-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0002 can be found here:

Documents and Forms

Document Name Document Type
Form FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistance Form and Instruction
FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125 (formerly 009-0-1INT).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125 (formerly 009-0-1INT).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
FF-104-FY-21-125-A Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125-A (formerly 009-0-1INT)(spanish).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
FF-104-FY-21-125-A Internet Application Registration For Disaster Assistanc FEMA Form FF-104-FY-21-125-A (formerly 009-0-1INT)(spanish).pptx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
Self Assessment Qu Self Assessment Questions applicant_self_assessment___new_screen_.png Form and Instruction
Self Assessment Qu Self Assessment Questions applicant_self_assessment___new_screen_.png Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Internet Application Registration For Disaster Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Subpart D (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF-104-FY-21-125 (formerly 009-0-1Int)	Internet Application Registration For Disaster Assistance (English)	FEMA Form FF-104-FY-21-125 (formerly 009-0-1INT).pptx	https://www.disasteraid.fema.gov/IAC/ri/newReg.do	Yes	Yes	Fillable Fileable
Form and Instruction	FF-104-FY-21-125-A (formerly 009-0-1Int)	Internet Application Registration For Disaster Assistance (Spanish)	FEMA Form FF-104-FY-21-125-A (formerly 009-0-1INT)(spanish).pptx	https://www.disasteraid.fema.gov/IAC/ri/newReg.do	Yes	Yes	Fillable Fileable
Form and Instruction	Self Assessment Questions	Self Assessment Questions	applicant_self_assessment___new_screen_.png		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title: Disaster Recovery Assistance Files System of Records	FR Citation: 78 FR 25282

Number of Respondents: 756,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	756,600	756,600
Annual IC Time Burden (Hours)	277,445	277,445
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.