View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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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:
1660-0002
ICR Reference No:
202107-1660-002
Status:
Historical Inactive
Previous ICR Reference No:
202103-1660-006
Agency/Subagency:
DHS/FEMA
Agency Tracking No:
Renewal After Emergency
Title:
Disaster Assistance Registration
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Withdrawn and continue
Conclusion Date:
08/16/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/03/2021
Terms of Clearance:
Withdrawn at DHS request in order to submit an emergency revision for a separate change.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2021
36 Months From Approved
09/30/2021
Responses
2,004,488
0
2,004,488
Time Burden (Hours)
622,707
0
622,707
Cost Burden (Dollars)
0
0
0
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. To provide meaningful access to individuals with disabilities throughout FEMA programs, the revision to the collection will obtain pertinent disability-related information.
Authorizing Statute(s):
US Code:
8 USC 1601
Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
US Code:
42 USC 5174
Name of Law: Disaster Mitigation Act of 2000
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
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
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 19001
04/12/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 38730
07/22/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Declaration and Release
FF-104-FY-21-128, FF-104-FY-21-128-A
Declaration and Release Form (English)
,
Declaration and Release (Spanish)
Disaster Assistance Registration
FF-104-FY-21-122, FF-104-FY-21-122-A
Application / Registration for Disaster Assistance (English)
,
Application / Registration for Disaster Assistance (Spanish)
Internet Application Registration For Disaster Assistance
FF-104-FY-21-125-A, Assessment Questions, FF-104-FY-21-125
Internet Application Registration For Disaster Assistance (English)
,
Internet Application Registration For Disaster Assistance (Spanish)
,
Self Assessment Questions
Manufactured Housing Unit Revocable License and Receipt for Government Property
FF-104-FY-21-127-A, FF-104-FY-21-127
Manufactured Housing Unit Revocable License and Receipt for Government Property (Spanish)
,
Manufactured Housing Unit Revocable License and Receipt for Government Property (English)
Request for Information (RFI) Letter
Tele-Registration Application For Disaster Assistance
FF-104-FY-21-123, Assessment Questions, FF-104-FY-21-123-A
Tele-Registration Application for Disaster Assistance (English)
,
Assessment Questions
,
Tele-Registration Application for Disaster Assistance (Spanish)
Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA
FF-104-FY-21-123-COVID-FA
Tele-Registration Application for COVID-19 Funeral Assistance (English)
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:
Annual Cost to Federal Government:
$203,187,715
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:
08/03/2021
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