Information Collection

Applicant Impact Survey

IC 257672 under ICR 202402-1660-004 · OMB 1660-0017.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Applicant Impact Survey Form and Instruction
FEMA Form FF-104-F Applicant Impact Survey FF-104-FY-22-235_Applicant Impact Survey_Final.docx portal.fema.gov Form and Instruction
FEMA Form FF-104-F Applicant Impact Survey FF-104-FY-22-235_Applicant Impact Survey_Final.docx portal.fema.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Applicant Impact Survey	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 206

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form FF-104-FY-22-235	Applicant Impact Survey	FF-104-FY-22-235_Applicant Impact Survey_Final.docx	https://portal.fema.gov	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title: DHS/FEMA-009-Hazard Mitigation, Disaster Public Assistance, and Disaster Loan Programs System of Records	FR Citation: 79 FR 16015

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	7,002	7,002
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.