Information Collection

Request for Advance Disaster Assistance

IC 242020 under ICR 202503-1660-004 · OMB 1660-0061.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Request for Advance Disaster Assistance Form
Form FEMA Form FF-104-F Request for Advance Disaster Assistance Request for Advance Disaster Assistance Form
FEMA Form FF-104-F Request for Advance Disaster Assistance FEMA Form FF-104-FY-21-116 (formerly 009-0-95).pdf Form
FEMA Form FF-104-F Request for Advance Disaster Assistance FEMA Form FF-104-FY-21-116 (formerly 009-0-95).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Advance Disaster Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.115

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-104-FY-21-116 (formerly 009-0-95)	Request for Advance Disaster Assistance	FEMA Form FF-104-FY-21-116 (formerly 009-0-95).pdf		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title: DHS/FEMA-008-Disaster Recovery Assistance Files	FR Citation: 78 FR 25282

Number of Respondents: 381	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	381	381
Annual IC Time Burden (Hours)	44	44
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].