Banking Information - State, Local & Tribal Governement

Notice of Loss and Proof of Loss

OMB: 1660-0155

IC ID: 258462

Information Collection (IC) Details

View Information Collection (IC)

Banking Information - State, Local & Tribal Governement
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FEMA Form FF-104-FY-22-251 Banking Information FEMA Form FF-104-FY-22-251_DRAFT.pdf https://www.fema.gov/hermits-peak Yes Yes Fillable Fileable Signable
Form and Instruction FEMA Form FF-104-FY-22-251-A Banking Information (Spanish) FEMA Form FF-104-FY-22-251-A_DRAFT.pdf https://www.fema.gov/hermits-peak Yes Yes Fillable Fileable Signable

Disaster Management Disaster Repair and Restore

 

287 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 287 0 287 0 0 0
Annual IC Time Burden (Hours) 95 0 95 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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