Information Collection Request

Disaster Assistance Registration

ICR 202509-1660-001 · OMB 1660-0002 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form FF-104-FY-21-122-A Application / Registration for Disaster Assistance (paper, Spanish) Form Unchanged Available
Form FF-104-FY-21-122 ( Application for Disaster Assistance (paper, English) Form Unchanged Repair queued
Form FF-104-FY-21-122 ( Disaster Assistance Registration Form Unchanged Repair queued
Form FEMA Form FF-104-F Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance Form Unchanged Repair queued
Form FEMA Form FF-104-F Tele-Registration Application for COVID-19 Funeral Assistance Form Unchanged Missing upstream
Form FEMA Form FF-104-F Tele-Registration, Registro Para Asistencia De Desastre (Spanish) Form Modified Available
Form FEMA Form FF-104-F Tele-Registration, Disaster Assistance Registration (English) Form Modified Available
Form FEMA Form FF-104-F Tele-Registration Application for Disaster Assistance (English and Spanish) Form Modified Missing upstream
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Repair queued
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Available
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Available
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 Form Modified Missing upstream
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Available
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Repair queued
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Repair queued
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Available
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Available
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Available
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Form Modified Repair queued
Form FEMA Form FF-104-F Disaster Registration Intake Call Center Updates Form Modified Available
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Form Modified Repair queued
Form FF-104-FY-21-128-A Declaration and Release Form (Spanish) Form Unchanged Available
Form FF-104-FY-21-128 ( Declaration and Release Form (English) Form Unchanged Available
Form FF-104-FY-21-128 ( Declaration and Release Form Unchanged Repair queued
Form FF-104-FY-21-127 ( Temporary Housing Program - Receipt for Government Property (English) Form Unchanged Available
Form FF-104-FY-21-127-A Temporary Housing Progam-Receipt for Government Property (Spanish) Form Unchanged Available
Form FF-104-FY-21-127-A Manufactured Housing Unit Revocable License and Receipt for Government Property Form Unchanged Repair queued
1660-0002_83-C_Streamline RI Paper_Internet_Call Center_Executive Order (EO) Update_9.3.25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-09-05 Repair queued
1660-0002_83-C_Streamline RI Paper_Internet_Call Center_Executive Order (EO) Update_9.3.25.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-09-05 Repair queued
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx Supplementary Document Uploaded 2023-02-23 Available
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx Supplementary Document Uploaded 2023-02-23 Repair queued
DAIP Roadmap (2022-2024).pptx Supplementary Document Uploaded 2023-02-23 Available
DAIP Roadmap (2022-2024).pptx Supplementary Document Uploaded 2023-02-23 Repair queued
1660-0002 - Published 30-Day Revision FRN - 2024 01 16.pdf Supplementary Document Uploaded 2024-01-16 Available
1660-0002 - Published 30-Day Revision FRN - 2024 01 16.pdf Supplementary Document Uploaded 2024-01-16 Repair queued
1660-0002 - Published 60-Day Revision FRN - 2023 10 19.pdf Supplementary Document Uploaded 2023-10-27 Repair queued
1660-0002 - Published 60-Day Revision FRN - 2023 10 19.pdf Supplementary Document Uploaded 2023-10-27 Repair queued
OCC and OWN letters mock up Final.docx Supplementary Document Uploaded 2021-08-16 Available
OCC and OWN letters mock up Final.docx Supplementary Document Uploaded 2021-08-16 Missing upstream
1600-0002 - Supporting Statement A - 2025 08 20 clean.docx Supporting Statement A Uploaded 2025-09-05 Available
1600-0002 - Supporting Statement A - 2025 08 20 clean.docx Supporting Statement A Uploaded 2025-09-05 Repair queued
Stafford Act Booklet 042213, (Sec 408).pdf Supplementary Document Uploaded 2021-02-16 Repair queued
Stafford Act Booklet 042213, (Sec 408).pdf Supplementary Document Uploaded 2021-02-16 Repair queued
Title 44 cfr 206.117.pdf Supplementary Document Uploaded 2021-02-16 Available
Title 44 cfr 206.117.pdf Supplementary Document Uploaded 2021-02-16 Missing upstream
44 CFR sec 206-110.pdf Supplementary Document Uploaded 2021-02-16 Available
44 CFR sec 206-110.pdf Supplementary Document Uploaded 2021-02-16 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
41292 Disaster Assistance Registration Form UnchangedApplication / Registration for Disaster Assistance (paper, Spanish)
41292 Disaster Assistance Registration Form UnchangedApplication for Disaster Assistance (paper, English)
41292 Disaster Assistance Registration Form Unchanged
264097 Tele-Registration Application for COVID-19 Funeral Assistance Form UnchangedFuneral Assistance Tele-Registration for COVID-19 Funeral Assistance
264097 Tele-Registration Application for COVID-19 Funeral Assistance Form Unchanged
264096 Tele-Registration Application for Disaster Assistance (English and Spanish) Form ModifiedTele-Registration, Registro Para Asistencia De Desastre (Spanish)
264096 Tele-Registration Application for Disaster Assistance (English and Spanish) Form ModifiedTele-Registration, Disaster Assistance Registration (English)
264096 Tele-Registration Application for Disaster Assistance (English and Spanish) Form Modified
258547 Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264 Form ModifiedDisaster Registration Intake Call Center Updates
258547 Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264 Form Modified
258546 Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Form ModifiedDisaster Registration Intake Call Center Updates
258546 Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Form Modified
258545 Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 Form ModifiedDisaster Registration Intake Call Center Updates
258545 Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 Form Modified
258544 Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 Form ModifiedDisaster Registration Intake Call Center Updates
258544 Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 Form Modified
258543 Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 Form ModifiedDisaster Registration Intake Call Center Updates
258543 Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 Form Modified
258542 Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Form ModifiedDisaster Registration Intake Call Center Updates
258542 Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Form Modified
258541 Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Form ModifiedDisaster Registration Intake Call Center Updates
258541 Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Form Modified
258539 Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Form ModifiedDisaster Registration Intake Call Center Updates
258539 Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Form Modified
258538 Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Form ModifiedDisaster Registration Intake Call Center Updates
258538 Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Form Modified
258537 Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Form ModifiedDisaster Registration Intake Call Center Updates
258537 Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Form Modified
251399 Request for Information (RFI) (Funeral Verification) Unchanged
248900 Request for Information (RFI) (Occupancy Verification) Unchanged
248899 Request for Information (RFI) (Ownership Verification) Unchanged
208764 Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items) Other-Letter Unchanged
178884 Declaration and Release Form UnchangedDeclaration and Release Form (Spanish)
178884 Declaration and Release Form UnchangedDeclaration and Release Form (English)
178884 Declaration and Release Form Unchanged
178883 Manufactured Housing Unit Revocable License and Receipt for Government Property Form UnchangedTemporary Housing Program - Receipt for Government Property (English)
178883 Manufactured Housing Unit Revocable License and Receipt for Government Property Form UnchangedTemporary Housing Progam-Receipt for Government Property (Spanish)
178883 Manufactured Housing Unit Revocable License and Receipt for Government Property Form Unchanged
ICR Details
1660-0002 202509-1660-001
Historical Active 202506-1660-001
DHS/FEMA Change Request - Income (EO)
Disaster Assistance Registration
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/03/2025
Retrieve Notice of Action (NOA) 09/09/2025
  Inventory as of this Action Requested Previously Approved
03/31/2027 03/31/2027 03/31/2027
1,611,201 0 1,611,201
423,787 0 423,787
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 help rebuild trust in the Federal Government by promoting transparency of FEMA’s Disaster Assistance application process.

PL: Pub.L. 93 - 288 0000 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
   PL: Pub.L. 116 - 260 133 Name of Law: Consolidated Appropriations Act, of 2021
   US Code: 42 USC 5174 Name of Law: Disaster Mitigation Act of 2000
   US Code: 8 USC 1601 Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
  
None

Not associated with rulemaking

  88 FR 72092 10/19/2023
89 FR 2634 01/16/2024
No

19
IC Title Form No. Form Name
Declaration and Release FF-104-FY-21-128 (formerly 009-0-3), FF-104-FY-21-128-A (formerly 009-0-4) Declaration and Release Form (English) ,   Declaration and Release Form (Spanish)
Disaster Assistance Registration FF-104-FY-21-122 (formerly 009-0-1), FF-104-FY-21-122-A (formerly 009-0-2) Application for Disaster Assistance (paper, English) ,   Application / Registration for Disaster Assistance (paper, Spanish)
Manufactured Housing Unit Revocable License and Receipt for Government Property FF-104-FY-21-127-A (formerly 009-0-6), FF-104-FY-21-127 (formerly 009-0-5) Temporary Housing Progam-Receipt for Government Property (Spanish) ,   Temporary Housing Program - Receipt for Government Property (English)
Request for Information (RFI) (Funeral Verification)
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)
Request for Information (RFI) (Occupancy Verification)
Request for Information (RFI) (Ownership Verification)
Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 FEMA Form FF-104-FY-22-261 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 FEMA Form FF-104-FY-22-258 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 FEMA Form FF-104-FY-22-259 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264 FEMA Form FF-104-FY-22-264 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 FEMA Form FF-104-FY-22-260 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 FEMA Form FF-104-FY-22-255 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 FEMA Form FF-104-FY-22-262 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 FEMA Form FF-104-FY-22-263 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 FEMA Form FF-104-FY-22-256 Disaster Registration Intake Call Center Updates
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 FEMA Form FF-104-FY-22-257 Disaster Registration Intake Call Center Updates
Tele-Registration Application for COVID-19 Funeral Assistance FEMA Form FF-104-FY-21-123-FA Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance
Tele-Registration Application for Disaster Assistance (English and Spanish) FEMA Form FF-104-FY-21-123 (formerly 009-0-1T), FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T) Tele-Registration, Disaster Assistance Registration (English) ,   Tele-Registration, Registro Para Asistencia De Desastre (Spanish)

  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 1,611,201 1,611,201 0 0 0 0
Annual Time Burden (Hours) 423,787 423,787 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$33,303,400
No
    Yes
    Yes
No
No
No
Yes
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.
09/09/2025