Tele-Registration Application for Disaster Assistance (English and Spanish)

Disaster Assistance Registration

Documents and Forms

Document Name Document Type
Form FEMA Form FF-104-F Tele-Registration Application for Disaster Assistance (English and Spanish) Form
FEMA Form FF-104-F Tele-Registration, Disaster Assistance Registration (Eng FF-104-FY-21-123.docx Form
FEMA Form FF-104-F Tele-Registration, Disaster Assistance Registration (Eng FF-104-FY-21-123.docx Form
FEMA Form FF-104-F Tele-Registration, Registro Para Asistencia De Desastre FF-104-FY-21-123-A.docx Form
FEMA Form FF-104-F Tele-Registration, Registro Para Asistencia De Desastre FF-104-FY-21-123-A.docx Form

Information Collection (IC) Details

IC Title:	Tele-Registration Application for Disaster Assistance (English and Spanish)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Part 206 (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	FEMA Form FF-104-FY-21-123 (formerly 009-0-1T)	Tele-Registration, Disaster Assistance Registration (English)	FF-104-FY-21-123.docx		No		Printable Only
Form	FEMA Form FF-104-FY-21-123-A (formerly 009-0-1T)	Tele-Registration, Registro Para Asistencia De Desastre (Spanish)	FF-104-FY-21-123-A.docx		No		Printable Only

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: 181,900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	181,900	181,900
Annual IC Time Burden (Hours)	66,703	66,703
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.