Information Collection Request

Federal Assistance to Individuals and Households Program (IHP)

ICR 202503-1660-004 · OMB 1660-0061 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form FEMA Form FF-104-F Piyunarqucirilriim Imirarkaa AassaQuucimaarkat Nallunairutet Alerquutiitggun Form and Instruction New Repair queued
Form FEMA Form FF-104-F Authorization for the Release of Information Under the Privacy Act (Yup'ik) Form and Instruction New Repair queued
Form FEMA Form FF-104-F Programa de Invididuos y Familias (IHP) Solicitud de Apelacion Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Programa de Invididuos y Familias (IHP) Solicitud de Apelacion Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Appeal of Program Decision / Appeal Request Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Appeal of Program Decision / Appeal Request Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Programa De Individuos Y Familias Solicitud Suplementaria De Asistencia De Vivienda Temporal Continua Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Programa De Individuos Y Familias Solicitud Suplementaria De Asistencia De Vivienda Temporal Continua Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Individuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Individuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Authorization for the Release of Information Under the Privacy Act Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Authorization for the Release of Information Under the Privacy Act Form and Instruction Modified Repair queued
Form FEMA Form FF-104-F Authorization for the Release of Information Under the Privacy Act Form and Instruction Modified Missing upstream
Form FEMA Form FF-104-F Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction Unchanged Repair queued
Form FEMA Form FF-104-F Solicitud de Adelanto de la Asistencia por Desastre Form Unchanged Available
Form FEMA Form FF-104-F Solicitud de Adelanto de la Asistencia por Desastre Form Unchanged Missing upstream
Form FEMA Form FF-104-F Request for Advance Disaster Assistance Form Unchanged Available
Form FEMA Form FF-104-F Request for Advance Disaster Assistance Form Unchanged Repair queued
Form FEMA Form FF-104-F Programa de Individuos y Familias Otras Necesidades Asistencia Seleccion de Opciones Administrativas Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form Unchanged Available
Form FEMA Form FF-104-F Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form Unchanged Repair queued
Form FEMA Form FF-104-F Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction Unchanged Missing upstream
Form FEMA Form FF-104-F Application for Continued Temporary Housing Assistance (Request for Continued Asisstance) Form and Instruction Unchanged Available
Form FEMA Form FF-104-F Individual and Households Program Application for Continued Temporary Housing Assistance Form and Instruction Unchanged Repair queued
83C FF-104-FY-21-114 3.12.25 JLbt.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-06-03 Repair queued
83C FF-104-FY-21-114 3.12.25 JLbt.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-06-03 Repair queued
1660-0061 - Signed Consolidated OMB 83-C - 2025 03 17 (002) TPS.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-03-17 Repair queued
1660-0061 - Signed Consolidated OMB 83-C - 2025 03 17 (002) TPS.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-03-17 Repair queued
1660-0061 - Published 30-Day FRN - 2024 09 03.pdf Supplementary Document Uploaded 2024-09-04 Available
1660-0061 - Published 30-Day FRN - 2024 09 03.pdf Supplementary Document Uploaded 2024-09-04 Repair queued
1660-0061 - Published 60-Day Revision FRN - 2024 05 16.pdf Supplementary Document Uploaded 2024-07-16 Repair queued
1660-0061 - Published 60-Day Revision FRN - 2024 05 16.pdf Supplementary Document Uploaded 2024-07-16 Repair queued
1660-0061 - Supporting Statement A - 2025 06 03 clean.docx Supporting Statement A Uploaded 2025-06-03 Repair queued
1660-0061 - Supporting Statement A - 2025 06 03 clean.docx Supporting Statement A Uploaded 2025-06-03 Repair queued
Robert_T_Stafford_Act_Sec_408.pdf Supplementary Document Uploaded 2013-10-22 Available
Robert_T_Stafford_Act_Sec_408.pdf Supplementary Document Uploaded 2013-10-22 Missing upstream
44 CFR 206.120.pdf Supplementary Document Uploaded 2014-04-18 Repair queued
44 CFR 206.120.pdf Supplementary Document Uploaded 2014-04-18 Repair queued
44 CFR 206.115.pdf Supplementary Document Uploaded 2014-04-18 Available
44 CFR 206.115.pdf Supplementary Document Uploaded 2014-04-18 Missing upstream
44 CFR 206.114.pdf Supplementary Document Uploaded 2014-04-18 Available
44 CFR 206.114.pdf Supplementary Document Uploaded 2014-04-18 Repair queued
44_CFR_206.112.pdf Supplementary Document Uploaded 2013-10-22 Available
44_CFR_206.112.pdf Supplementary Document Uploaded 2013-10-22 Missing upstream
44_CFR_206.110.pdf Supplementary Document Uploaded 2013-10-22 Available
44_CFR_206.110.pdf Supplementary Document Uploaded 2013-10-22 Missing upstream
SRIA copy.pdf Supplementary Document Uploaded 2013-10-22 Available
SRIA copy.pdf Supplementary Document Uploaded 2013-10-22 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
274462 Authorization for the Release of Information Under the Privacy Act (Vietnamese) New
274461 Authorization for the Release of Information Under the Privacy Act (Haitian Creole) New
274460 Authorization for the Release of Information Under the Privacy Act (Yup'ik) Form and Instruction NewPiyunarqucirilriim Imirarkaa AassaQuucimaarkat Nallunairutet Alerquutiitggun
274460 Authorization for the Release of Information Under the Privacy Act (Yup'ik) Form and Instruction New
266052 Programa de Invididuos y Familias (IHP) Solicitud de Apelacion Form and Instruction UnchangedPrograma de Invididuos y Familias (IHP) Solicitud de Apelacion
266052 Programa de Invididuos y Familias (IHP) Solicitud de Apelacion Form and Instruction Unchanged
266051 Appeal of Program Decision / Appeal Request Form and Instruction UnchangedAppeal of Program Decision / Appeal Request
266051 Appeal of Program Decision / Appeal Request Form and Instruction Unchanged
266050 Programa De Individuos Y Familias Solicitud Suplementaria De Asistencia De Vivienda Temporal Continua Form and Instruction UnchangedPrograma De Individuos Y Familias Solicitud Suplementaria De Asistencia De Vivienda Temporal Continua
266050 Programa De Individuos Y Familias Solicitud Suplementaria De Asistencia De Vivienda Temporal Continua Form and Instruction Unchanged
266049 Individuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance Form and Instruction UnchangedIndividuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance
266049 Individuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance Form and Instruction Unchanged
242028 Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction UnchangedAuthorization for the Release of Information Under the Privacy Act
242028 Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction Unchanged
242027 Authorization for the Release of Information Under the Privacy Act Form and Instruction ModifiedAuthorization for the Release of Information Under the Privacy Act
242027 Authorization for the Release of Information Under the Privacy Act Form and Instruction Modified
242024 Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction UnchangedSolicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre
242024 Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction Unchanged
242023 Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction UnchangedRequest to Stop Payment and Reissue Disaster Assistance Check
242023 Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction Unchanged
242022 Solicitud de Adelanto de la Asistencia por Desastre Form UnchangedSolicitud de Adelanto de la Asistencia por Desastre
242022 Solicitud de Adelanto de la Asistencia por Desastre Form Unchanged
242020 Request for Advance Disaster Assistance Form UnchangedRequest for Advance Disaster Assistance
242020 Request for Advance Disaster Assistance Form Unchanged
21141 Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form and Instruction UnchangedPrograma de Individuos y Familias Otras Necesidades Asistencia Seleccion de Opciones Administrativas
21141 Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form UnchangedIndividuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection
21141 Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form Unchanged
204030 Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction UnchangedSolicitud para Continuar la Asistencia de Vivienda Temporera
204030 Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction Unchanged
185597 Development of State Administrative Plan for the Other Needs Provison of IHP Other-Regulation Unchanged
185596 Appeal of Program Decision Other-Regulation Unchanged
185595 Individual and Households Program Application for Continued Temporary Housing Assistance Form and Instruction UnchangedApplication for Continued Temporary Housing Assistance (Request for Continued Asisstance)
185595 Individual and Households Program Application for Continued Temporary Housing Assistance Form and Instruction Unchanged
185594 Request for Approval of Late Registration Other-Regulation Unchanged
ICR Details
1660-0061 202503-1660-004
Active 202407-1660-001
DHS/FEMA Change Request
Federal Assistance to Individuals and Households Program (IHP)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/02/2025
Retrieve Notice of Action (NOA) 06/17/2025
  Inventory as of this Action Requested Previously Approved
10/31/2027 10/31/2027 10/31/2027
2,027,050 0 2,027,047
508,508 0 508,505
0 0 0

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 rebuild trust in the Federal Government by promoting transparency of FEMA’s Disaster Assistance application process.

PL: Pub.L. 93 - 288 408 Name of Law: Robert T Stafford Disaster Relief and Emergency Assistance Act
   US Code: 44 USC 206 Name of Law: Federal Disaster Assistance for Disasters Declared on or after November 23 1988
  
None

Not associated with rulemaking

  89 FR 42894 05/16/2024
89 FR 71382 09/03/2024
No

19
IC Title Form No. Form Name
Appeal of Program Decision
Appeal of Program Decision / Appeal Request FEMA Form FF-104-FY-22-229 Appeal of Program Decision / Appeal Request
Authorization for the Release of Information Under the Privacy Act 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)
Authorization for the Release of Information Under the Privacy Act (Vietnamese)
Authorization for the Release of Information Under the Privacy Act (Yup'ik) FEMA Form FF-104-FY-21-118-B Piyunarqucirilriim Imirarkaa AassaQuucimaarkat Nallunairutet Alerquutiitggun
Autorización para la Divulgación de Información bajo el Acta de Privacidad 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
Individual and Households Program Application for Continued Temporary Housing Assistance 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 FEMA Form FF-104-FY-21-114 (formerly 010-0-11), FEMA Form FF-104-FY-21-114-A Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection ,   Programa de Individuos y Familias Otras Necesidades Asistencia Seleccion de Opciones Administrativas
Individuals and Households Program (IHP) – Supplemental Application for Continued Temporary Housing Assistance 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 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 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 FEMA Form FF-104-FY-22-229-A Programa de Invididuos y Familias (IHP) Solicitud de Apelacion
Request for Advance Disaster Assistance FEMA Form FF-104-FY-21-116 (formerly 009-0-95) Request for Advance Disaster Assistance
Request for Approval of Late Registration
Request to Stop Payment and Reissue Disaster Assistance Check 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 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 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 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 2,027,050 2,027,047 0 3 0 0
Annual Time Burden (Hours) 508,508 508,505 0 3 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There is an increase of three burden hours due to adding the Yup’ik, Haitian Creole and Vietnamese translations of FEMA Form FF-104-FY-21-118 as their own line items in this Supporting Statement and in ROCIS with the minimum one burden hour each. There is an increase of $138 in annual cost burden due to the addition of three burden hours due to adding the Yup’ik, Haitian Creole and Vietnamese translations of FEMA Form FF-104-FY-21-118 as their own line items in this Supporting Statement and in ROCIS.

$1,227,786
No
    Yes
    Yes
No
No
No
No
Krista Robinson 202 394-6377 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/17/2025