Disaster Assistance Registration

Forms and Documents

Document Name	Status
Form FF-104-FY-21-122 ( Disaster Assistance Registration Form	Modified
Form FEMA Form FF-104-F Tele-Registration Application for COVID-19 Funeral Assistance Form	Unchanged
Form FEMA Form FF-104-F Tele-Registration Application for Disaster Assistance (English and Spanish) Form	Modified
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
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Medical or Dental Expenses FF-104-FY-22-263 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Lodging Expenses FF-104-FY-22-262 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Childcare Expenses FF-104-FY-22-261 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Funeral Expenses FF-104-FY-22-260 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Essential Utilities Outage FF-104-FY-22-259 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Emergency Needs FF-104-FY-22-258 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Vehicle Property Damage FF-104-FY-22-257 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Personal Property Damage FF-104-FY-22-256 Form	Modified
Form FEMA Form FF-104-F Streamline Registration Intake for Disaster Assistance, Home Damage FF-104-FY-22-255 Form	Modified
Form FF-104-FY-21-128 ( Declaration and Release Form	Unchanged
Form FF-104-FY-21-127-A Manufactured Housing Unit Revocable License and Receipt for Government Property Form	Unchanged
1660-0002 OMB Form 83-C_Streamline RI Paper_Internet_Call Center EO updates 4.21.2025Bt.pdf Justification for No Material/Nonsubstantive Change	2025-06-06
DAIP_RI-All-Needs-Flow_Final-Edits_2022-7.25.22_OMBpptx.pptx Supplementary Document	2023-02-23
DAIP Roadmap (2022-2024).pptx Supplementary Document	2023-02-23
1660-0002 - Published 30-Day Revision FRN - 2024 01 16.pdf Supplementary Document	2024-01-16
1660-0002 - Published 60-Day Revision FRN - 2023 10 19.pdf Supplementary Document	2023-10-27
OCC and OWN letters mock up Final.docx Supplementary Document	2021-08-16
1600-0002 - Supporting Statement A - 2025 07 07 clean.docx Supporting Statement A	2025-07-07
Stafford Act Booklet 042213, (Sec 408).pdf Supplementary Document	2021-02-16
Title 44 cfr 206.117.pdf Supplementary Document	2021-02-16
44 CFR sec 206-110.pdf Supplementary Document	2021-02-16

IC Document Collections

IC ID	Document Title	Status
41292	Disaster Assistance Registration Form	Modified
264097	Tele-Registration Application for COVID-19 Funeral Assistance Form	Unchanged
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	Modified
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	Modified
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	Modified
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	Modified
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	Modified
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	Unchanged
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property Form	Unchanged

ICR Details

OMB Control No: 1660-0002	ICR Reference No: 202506-1660-001
Status: Received in OIRA	Previous ICR Reference No: 202406-1660-004
Agency/Subagency: DHS/FEMA	Agency Tracking No: Change Request - EO
Title: Disaster Assistance Registration
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/15/2025

	Requested	Previously Approved
Expiration Date	03/31/2027	03/31/2027
Responses	1,611,201	1,611,201
Time Burden (Hours)	423,787	423,787
Cost Burden (Dollars)	0	0

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Abstract: 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.

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Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 72092	10/19/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 2634	01/16/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 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)

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ICR Summary of Burden

	Total Request	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $33,303,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/15/2025

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