OMB control number

Public Assistance Program

OMB 1660-0017 · DHS/FEMA.

OMB 1660-0017

The information collected is required for the Public Assistance (PA) Program eligibility determinations, grants management, and compliance with other Federal laws and regulations. The Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. § 5121-5207 (the Stafford Act), authorizes grants to assist State, Tribal, and local governments and certain private non-profit entities with the response to and recovery from disasters following Presidentially declared major disasters and emergencies.

The latest form for Public Assistance Program expires 2027-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FEMA Form FF-104-F Request for Public Assistance Form and Instruction
Form FEMA Form FF-104-F Tribe Administrative Plan Form and Instruction
Form FEMA Form FF-104-F Time Extension Request Form and Instruction
Form FEMA Form FF-104-F Damage Information Form and Instruction
Form FEMA Form FF-104-F Project Application for Management Costs Form and Instruction
Form FEMA Form FF-104-F Project Application for Building Code and Floodplain Management and Enforcement Form and Instruction
Form FEMA Form FF-104-F Project Application for Infrastructure Restoration Form and Instruction
Form FEMA Form FF-104-F Project Application for COVID-19 Form and Instruction
Form FEMA Form FF-104-F Project Application for Emergency Protective Measures Form and Instruction
Form FEMA Form FF-104-F Project Application for Debris Removal Form and Instruction
Form FEMA Form FF-104-F Pre-Approval Request Form and Instruction
Form FEMA Form FF-104-F Donated Labor Sign-in Form and Instruction
Form FEMA Form FF-104-F Impact List Form and Instruction
Form FEMA Form FF-104-F Applicant Impact Survey Form and Instruction
Form FEMA Form FF-104-F Recipient Incident Information Form and Instruction
Form FEMA Form FF-104-F Organization Profile Form and Instruction
Form FEMA Template 104- Equitable Vaccine Administration Information Submission Template Form and Instruction
Form FEMA Form FF-104-F State Administrative Plan Form and Instruction
Form FEMA Form FF-104-F Force Account Equipment Summary Form and Instruction
Form FEMA Form FF-104-F Contract Work Summary Form and Instruction
Form FEMA Form FF-104-F Rented Equipment Summary Form and Instruction
Form FEMA Form FF-104-F Materials Summary Form and Instruction
Form FEMA Form FF-104-F Force Account Labor Summary Record Form and Instruction
Form FEMA Form FF-104-F Applicant's Benefits Calculation Worksheet Form and Instruction
Form FEMA Form FF-104-F Quarterly Progress Report Form and Instruction
20160825 FEMA FACTRAX Screenshots.pdf Supplementary Document
FF-104-FY-22-247_Hazard Mitigation Addendum_Final.docx Supplementary Document
FF-104-FY-22-246_Environmental and Historic Preservation Info_Final.docx Supplementary Document
1660-0017- Supporting Statement A 2024 05 13 clean.docx Supporting Statement A
1660-0110 - Published 30-Day Extension FRN - 2024 05 16.pdf Supplementary Document
1660-0017 - Published 60-Day FRN - 2024 01 31.pdf Supplementary Document
privacy-pia-fema-hmgp.pdf Supplementary Document
privacy_pia_FEMA_GrantManagementPrograms_February2015.pdf Supplementary Document
SORN, DHS-FEMA-009 HMA, PA, and CDL SORN (78 FR 16015, 2014 03 24).pdf Supplementary Document
stafford_act.pdf Supplementary Document
CFR-2011-title44-vol1-part206.pdf Supplementary Document
Request for Public Assistance Form and Instruction
Tribe Administrative Plan Form and Instruction
Time Extension Request Form and Instruction
Damage Information Form and Instruction
Project Application for Management Costs Form and Instruction
Project Application for Building Code and Floodplain Management and Enforcement Form and Instruction
Project Application for Infrastructure Restoration Form and Instruction
Project Application for COVID-19 Form and Instruction
Project Application for Emergency Protective Measures Form and Instruction
Project Application for Debris Removal Form and Instruction
Pre-Approval Request Form and Instruction
Donated Labor Sign-in Form and Instruction
Impact List Form and Instruction
Applicant Impact Survey Form and Instruction
Recipient Incident Information Form and Instruction
Organization Profile Form and Instruction
Equitable Vaccine Administration Information Submission Template Form and Instruction
State Administrative Plan Form and Instruction
Request for Arbitration and Recommendation from Hurricanes Katrina or Rita
Request for Appeals and Recommendation
Force Account Equipment Summary Form and Instruction
Contract Work Summary Form and Instruction
Rented Equipment Summary Form and Instruction
Materials Summary Form and Instruction
Force Account Labor Summary Record Form and Instruction
Applicant's Benefits Calculation Worksheet Form and Instruction
Quarterly Progress Report Form and Instruction

All Historical Document Collections

202402-1660-004 Approved without change	Revision of a currently approved collection	2024-05-17
202311-1660-001 Approved without change	Revision of a currently approved collection	2023-11-02
202212-1660-015 Approved with change	Revision of a currently approved collection	2023-03-14
202208-1660-001 Approved without change	Revision of a currently approved collection	2022-09-13
202109-1660-002 Approved without change	Revision of a currently approved collection	2021-09-16
202107-1660-001 Comment filed on proposed rule and continue	Revision of a currently approved collection	2021-07-01
202105-1660-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-06-08
202103-1660-008 Approved without change	Revision of a currently approved collection	2021-04-16
202003-1660-001 Approved without change	Revision of a currently approved collection	2020-03-31
201902-1660-001 Approved without change	Revision of a currently approved collection	2019-05-10
201607-1660-002 Approved without change	Reinstatement with change of a previously approved collection	2016-09-23
201402-1660-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-03-05
201307-1660-006 Approved without change	Revision of a currently approved collection	2013-07-09
201304-1660-001 Approved with change	Revision of a currently approved collection	2013-04-30
201001-1660-004 Approved without change	Revision of a currently approved collection	2010-02-25
200908-1660-003 Approved without change	Revision of a currently approved collection	2009-08-27
200807-1660-001 Approved without change	Revision of a currently approved collection	2008-10-17
200603-1660-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-03-28
200509-1660-002 Approved without change	Revision of a currently approved collection	2005-09-23
200506-1660-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-06-27
200303-1660-017 Approved without change	Revision of a currently approved collection	2003-03-01

OMB Details

Request for Public Assistance

Federal Enterprise Architecture: Disaster Management - Disaster Repair and Restore

Form FEMA Form FF-104-FY-21-131 (formerly 009-0-49)	Request for Public Assistance	portal.fema.gov/famsVuWeb/home	Form and instruction
Form FEMA Form FF-104-FY-121-131 (formerly 009-0-49)	Request for Public Assistance	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.