OMB control number

Debt Collection Financial Statement

OMB 1660-0011 · DHS/FEMA.

OMB 1660-0011

FEMA Form FF-600-FY-22-102 (formerly 127-0-1) is used to collect information provided voluntarily by the debtor to evaluate the debtor’s financial abilities to determine if they qualify for a payment plan and set repayment terms, or determine a compromise to write-off a debt in part or in full. Financial information obtained is essential to evaluate the debtor’s ability for the payment of the debt in part or in full. Debt may be a recoupment of an ineligible disaster assistance payment or improper payment to an employee.

The latest form for Debt Collection Financial Statement expires 2028-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FEMA Form FF-600-F Debt Collection Financial Statement Form
Form FEMA Form FF-600-F Debt Collection Financial Statement Form
1660-0011 Supporting Statement A 04 30 2025.docx Supporting Statement A
1660-0011 Supporting Statement A 04 30 2025.docx Supporting Statement A
Public Law 104-134, CHAPTER 10 DEBT COLLECTION IMPROVEMENTS.pdf Supplementary Document
Public Law 104-134, CHAPTER 10 DEBT COLLECTION IMPROVEMENTS.pdf Supplementary Document
31 CFR Parts 900 - 904.pdf Supplementary Document
31 CFR Parts 900 - 904.pdf Supplementary Document
31 USC 3701.pdf Supplementary Document
31 USC 3701.pdf Supplementary Document
1660-0011 - Published 30-Day Extension FRN - 2025 04 30.pdf Supplementary Document
1660-0011 - Published 30-Day Extension FRN - 2025 04 30.pdf Supplementary Document
6 CFR Part 11, eCFR — Code of Federal Regulations.mht Supplementary Document
6 CFR Part 11, eCFR — Code of Federal Regulations.mht Supplementary Document
1660-0011 - Published 60-Day Extention FRN - 2025 01 16.pdf Supplementary Document
1660-0011 - Published 60-Day Extention FRN - 2025 01 16.pdf Supplementary Document
Title 31 Sec 3711.pdf Supplementary Document
Title 31 Sec 3711.pdf Supplementary Document
Debt Collection Financial Statement Form
Debt Collection Financial Statement Form

All Historical Document Collections

202503-1660-001	Extension without change of a currently approved collection	2025-05-20
202006-1660-009 Approved with change	Reinstatement without change of a previously approved collection	2021-02-24
201707-1660-002 Approved without change	Revision of a currently approved collection	2017-08-31
201404-1660-005 Approved without change	Revision of a currently approved collection	2014-06-30
201101-1660-007 Approved without change	Extension without change of a currently approved collection	2011-03-29
200801-1660-001 Approved without change	Revision of a currently approved collection	2008-02-19
200503-1660-003 Approved without change	Revision of a currently approved collection	2005-03-29
200303-1660-011 Approved without change	Revision of a currently approved collection	2003-03-01