Information Collection Request

Disaster Assistance Registration

ICR 202603-1660-001 · OMB 1660-0002 · 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-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 Available
Form FF-104-FY-21-122 ( Application for Disaster Assistance (paper, English) Form Unchanged Available
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 Funeral Assistance Tele-Registration for COVID-19 Funeral Assistance Form Unchanged Available
Form FEMA Form FF-104-F Tele-Registration, Registro Para Asistencia De Desastre (Spanish) Form Unchanged Repair queued
Form FEMA Form FF-104-F Tele-Registration, Registro Para Asistencia De Desastre (Spanish) Form Unchanged Available
Form FEMA Form FF-104-F Tele-Registration, Disaster Assistance Registration (English) Form Unchanged Repair queued
Form FEMA Form FF-104-F Tele-Registration, Disaster Assistance Registration (English) Form Unchanged Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Repair queued
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Repair queued
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Repair queued
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Repair queued
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Repair queued
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Repair queued
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FEMA Form FF-104-F IA Modernization- RI Questions Online Registration Form Modified Available
Form FF-104-FY-21-128-A Declaration and Release Form (Spanish) Form Unchanged 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 Repair queued
Form FF-104-FY-21-128 ( Declaration and Release Form (English) Form Unchanged Available
Form FF-104-FY-21-127 ( Temporary Housing Program - Receipt for Government Property (English) Form Unchanged Available
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 Temporary Housing Progam-Receipt for Government Property (Spanish) Form Unchanged Available
1660-0002_Registration Intake Non-Substantive Changes_03.16.2026 V2.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-03-20 Repair queued
1660-0002_Registration Intake Non-Substantive Changes_03.16.2026 V2.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-03-20 Available
83CIAMODUPDATES3.16.26v2.pdf Justification for No Material/Nonsubstantive Change Uploaded 2026-03-20 Repair queued
83CIAMODUPDATES3.16.26v2.pdf Justification for No Material/Nonsubstantive Change Uploaded 2026-03-20 Available
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 Available
DAIP Roadmap (2022-2024).pptx Supplementary Document Uploaded 2023-02-23 Repair queued
DAIP Roadmap (2022-2024).pptx Supplementary Document Uploaded 2023-02-23 Available
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 Available
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 Available
OCC and OWN letters mock up Final.docx Supplementary Document Uploaded 2021-08-16 Repair queued
OCC and OWN letters mock up Final.docx Supplementary Document Uploaded 2021-08-16 Available
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 Available
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 Available
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 Available
44 CFR sec 206-110.pdf Supplementary Document Uploaded 2021-02-16 Repair queued
44 CFR sec 206-110.pdf Supplementary Document Uploaded 2021-02-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
41292 Disaster Assistance Registration Form UnchangedApplication / Registration for Disaster Assistance (paper, Spanish)
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 UnchangedApplication for Disaster Assistance (paper, English)
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 UnchangedFuneral Assistance Tele-Registration for COVID-19 Funeral Assistance
264096 Tele-Registration Application for Disaster Assistance (English and Spanish) Form UnchangedTele-Registration, Registro Para Asistencia De Desastre (Spanish)
264096 Tele-Registration Application for Disaster Assistance (English and Spanish) Form UnchangedTele-Registration, Registro Para Asistencia De Desastre (Spanish)
264096 Tele-Registration Application for Disaster Assistance (English and Spanish) Form UnchangedTele-Registration, Disaster Assistance Registration (English)
264096 Tele-Registration Application for Disaster Assistance (English and Spanish) Form UnchangedTele-Registration, Disaster Assistance Registration (English)
258547 Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264 Form ModifiedIA Modernization- RI Questions Online Registration
258547 Streamline Registration Intake for Disaster Assistance, Expenses for Miscellaneous Items (e.g., chainsaws, generators, etc.) FF-104-FY-22-264 Form ModifiedIA Modernization- RI Questions Online Registration
258546 Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Form ModifiedIA Modernization- RI Questions Online Registration
258546 Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Form ModifiedIA Modernization- RI Questions Online Registration
258545 Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 Form ModifiedIA Modernization- RI Questions Online Registration
258545 Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 Form ModifiedIA Modernization- RI Questions Online Registration
258544 Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 Form ModifiedIA Modernization- RI Questions Online Registration
258544 Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 Form ModifiedIA Modernization- RI Questions Online Registration
258543 Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 Form ModifiedIA Modernization- RI Questions Online Registration
258543 Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 Form ModifiedIA Modernization- RI Questions Online Registration
258542 Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Form ModifiedIA Modernization- RI Questions Online Registration
258542 Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Form ModifiedIA Modernization- RI Questions Online Registration
258541 Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Form ModifiedIA Modernization- RI Questions Online Registration
258541 Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Form ModifiedIA Modernization- RI Questions Online Registration
258539 Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Form ModifiedIA Modernization- RI Questions Online Registration
258539 Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Form ModifiedIA Modernization- RI Questions Online Registration
258538 Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Form ModifiedIA Modernization- RI Questions Online Registration
258538 Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Form ModifiedIA Modernization- RI Questions Online Registration
258537 Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Form ModifiedIA Modernization- RI Questions Online Registration
258537 Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Form ModifiedIA Modernization- RI Questions Online Registration
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 (Spanish)
178884 Declaration and Release Form UnchangedDeclaration and Release Form (English)
178884 Declaration and Release Form UnchangedDeclaration and Release Form (English)
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 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 UnchangedTemporary Housing Progam-Receipt for Government Property (Spanish)
ICR Details
1660-0002 202603-1660-001
Active 202509-1660-001
DHS/FEMA Change Request - IA Modernization
Disaster Assistance Registration
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/22/2026
Retrieve Notice of Action (NOA) 04/14/2026
  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.

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
   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
  
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-A (formerly 009-0-2), FF-104-FY-21-122 (formerly 009-0-1) 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 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 FEMA Form FF-104-FY-22-258 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 FEMA Form FF-104-FY-22-259 IA Modernization- RI Questions Online Registration
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 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 FEMA Form FF-104-FY-22-260 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 FEMA Form FF-104-FY-22-255 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 FEMA Form FF-104-FY-22-262 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 FEMA Form FF-104-FY-22-263 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 FEMA Form FF-104-FY-22-256 IA Modernization- RI Questions Online Registration
Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 FEMA Form FF-104-FY-22-257 IA Modernization- RI Questions Online Registration
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-A (formerly 009-0-1T), FEMA Form FF-104-FY-21-123 (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.
04/14/2026