Information Collection

Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263

IC 258546 under ICR 202506-1660-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Form
FEMA Form FF-104-F Disaster Registration Intake Call Center Updates 1660-0002 Disaster Regisration Intake Call Center Updates 4.21.2025 JL.docx www.DisasterAssistance.gov Form
FEMA Form FF-104-F Disaster Registration Intake Call Center Updates 1660-0002 Disaster Regisration Intake Call Center Updates 4.21.2025 JL.docx www.DisasterAssistance.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263	Agency IC Tracking Number:	FF-104-FY-22-263

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	FEMA Form FF-104-FY-22-263	Disaster Registration Intake Call Center Updates	1660-0002 Disaster Regisration Intake Call Center Updates 4.21.2025 JL.docx	www.DisasterAssistance.gov	Yes	Yes	Fillable Fileable

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: 87 FR 7852

Number of Respondents: 2,200	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	2,200	2,200
Annual IC Time Burden (Hours)	367	367
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.

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