Information Collection

Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA

IC 246283 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⚠️ Notice: This information collection may be referencing outdated material.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-21-123-C Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA Form and Instruction
FF-104-FY-21-123-C Tele-Registration Application for COVID-19 Funeral Assis FEMA FF-104-FY-21-123-COVID-FA (English), Tele-Registration, COVID-19 Funeral Assistance.pdf Form and Instruction
FF-104-FY-21-123-C Tele-Registration Application for COVID-19 Funeral Assis FEMA FF-104-FY-21-123-COVID-FA (English), Tele-Registration, COVID-19 Funeral Assistance.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA	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 B (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-21-123-COVID-FA (formerly 009-0-1T-COVID	Tele-Registration Application for COVID-19 Funeral Assistance (English)	FEMA FF-104-FY-21-123-COVID-FA (English), Tele-Registration, COVID-19 Funeral Assistance.pdf		Yes	No	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: 500,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500,000	500,000
Annual IC Time Burden (Hours)	183,350	183,350
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.