View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1660-0142
ICR Reference No:
202009-1660-001
Status:
Historical Active
Previous ICR Reference No:
201802-1660-010
Agency/Subagency:
DHS/FEMA
Agency Tracking No:
Title:
Survivor Sheltering Assessment
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
09/05/2020
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/08/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/04/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2021
6 Months From Approved
05/31/2022
Responses
51,200
0
31,200
Time Burden (Hours)
8,535
0
5,201
Cost Burden (Dollars)
0
0
0
Abstract:
This collection is used to collect information from survivors in shelters regarding the pre-disaster housing situation and post disaster housing plans. The information will be used by FEMA to understand the scope of the FEMA requirement to provide housing and rental assistance to those displaced by natural and manmade disaster. This will ensure that FEMA delivers housing and rental services without duplicating the benefits other Agencies are responsible for providing based on survivor’s pre-disaster housing situation. Aggregated reports will be used by staff in the Joint Field Office to plan and execute shelter depopulation strategies. Individual survivor information collected with this assessment will be used solely for the planning and delivery of FEMA services.
Emergency Justfication:
FEMA is implementing an alternate method to support immediate needs for Survivor Sheltering Assessment in Support of FEMA Public Assistance Non-Congregate Sheltering Data Sharing during the COVID-19 Public Health Emergency (Interim) FP 104-009-18 to include an alternate process to be utilized by State, Tribal or Territorial (STT) governments to collect information from the Shelter Resident and provide that data to FEMA in response to the COVID-19 pandemic.
Authorizing Statute(s):
US Code:
42 USC 5174
Name of Law: Disaster Mitigation Act of 2000
PL:
Pub.L. 93 - 288 0000
Name of Law: Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Survivor Sheltering Assessment
FEMA Form 009-0-42AV
Survivor Sheltering Assessment Alternate Version
Survivor Sheltering Assessment Tool
ICR Summary of Burden
Total Approved
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
51,200
31,200
0
20,000
0
0
Annual Time Burden (Hours)
8,535
5,201
0
3,334
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
For the Survivor Sheltering Assessment collection, previously approved burden hours were estimated at 5,201 for the full collection. The burden hours are increased by 3,334 to add the alternative version for the COVID-19 sheltering data for a total of 8,535 hours.
Annual Cost to Federal Government:
$273,356
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
Agency Contact:
Millicent Brown 202 646-2814 millicent.brown@fema.dhs.gov
Common Form ICR:
No
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:
09/04/2020
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