Internet Application Registration For Disaster Assistance

Disaster Assistance Registration

Documents and Forms

Document Name Document Type
Form FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistance Form and Instruction
FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistanc FF-104-FY-21-125.docx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
FF-104-FY-21-125 ( Internet Application Registration For Disaster Assistanc FF-104-FY-21-125.docx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
FF-104-FY-21-125-A Internet Application Registration For Disaster Assistanc FF-104-FY-21-125-A.docx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
FF-104-FY-21-125-A Internet Application Registration For Disaster Assistanc FF-104-FY-21-125-A.docx www.disasteraid.fema.gov/IAC/ri/newReg.do Form and Instruction
Self Assessment Qu Self Assessment Questions applicant_self_assessment___new_screen_.png Form and Instruction
Self Assessment Qu Self Assessment Questions applicant_self_assessment___new_screen_.png Form and Instruction

Information Collection (IC) Details

IC Title:	Internet Application Registration For Disaster Assistance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Subpart D (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF-104-FY-21-125 (formerly 009-0-1Int)	Internet Application Registration For Disaster Assistance (English)	FF-104-FY-21-125.docx	https://www.disasteraid.fema.gov/IAC/ri/newReg.do	Yes	Yes	Fillable Fileable
Form and Instruction	FF-104-FY-21-125-A (formerly 009-0-1Int)	Internet Application Registration For Disaster Assistance (Spanish)	FF-104-FY-21-125-A.docx	https://www.disasteraid.fema.gov/IAC/ri/newReg.do	Yes	Yes	Fillable Fileable
Form and Instruction	Self Assessment Questions	Self Assessment Questions	applicant_self_assessment___new_screen_.png		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title: DHS/FEMA-008 - Disaster Recovery Assistance Files	FR Citation: 87 FR 7852

Number of Respondents: 756,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-756,600	756,600
Annual IC Time Burden (Hours)	-277,445	277,445
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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