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:
202201-1660-005
Status:
Historical Active
Previous ICR Reference No:
202108-1660-004
Agency/Subagency:
DHS/FEMA
Agency Tracking No:
Revision - Occupancy/Ownership
Title:
Disaster Assistance Registration
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/14/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/25/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2025
36 Months From Approved
09/30/2022
Responses
2,043,134
0
2,043,134
Time Burden (Hours)
642,031
0
642,031
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. This extension, without change, will also support the continued ability to provide COVID-19 Funeral Assistance to individuals who are responsible for a deceased individual’s funeral expenses and the expansion of the acceptable documentation applicants can submit to FEMA to verify the occupancy and/or ownership of their primary residence and establish eligibility for disaster assistance.
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 61283
11/05/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 9634
02/22/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
Declaration and Release
FF-104-FY-21-128 (formerly 009-0-3), FF-104-FY-21-128-A (formerly 009-0-4)
Declaration and Release Form (English)
,
Declaration and Release Form (Spanish)
Disaster Assistance Registration
FF-104-FY-21-122-A (formerly 009-0-2), FF-104-FY-21-122 (formerly 009-0-1)
Application / Registration for Disaster Assistance (paper, English)
,
Application / Registration for Disaster Assistance (paper, Spanish)
Internet Application Registration For Disaster Assistance
FF-104-FY-21-125-A (formerly 009-0-1Int), Self Assessment Questions, FF-104-FY-21-125 (formerly 009-0-1Int)
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 (formerly 009-0-6), FF-104-FY-21-127 (formerly 009-0-5)
Temporary Housing Progam-Receipt for Government Property (Spanish)
,
Temporary Housing Program - Receipt for Government Property (English)
Request for Information (RFI) (COVID-19 Funeral Assistance)
Request for Information (RFI) (Medical, Dental, Disability-Accessibility-Related Items)
Request for Information (RFI) Occupancy Verification
Request for Information (RFI) Ownership Verification
Tele-Registration Application For Disaster Assistance
FF-104-FY-21-123 (formerly 009-01T), Assement Questions, FF-104-FY-21-123-A (formerly 009-01T Spanish)
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 (formerly 009-0-1T-COVID
Tele-Registration Application for COVID-19 Funeral Assistance (English)
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
2,043,134
2,043,134
0
0
0
0
Annual Time Burden (Hours)
642,031
642,031
0
0
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
FEMA split one RFI line item in the IC list into two RFI's: the RFI for Medical, Dental, Disability-Accessibility-Related Items, and the RFI for COVID-19 Funeral Assistance. This moved 500,000 respondents from the joint RFI to just the RFI for COVID-19 Funeral Assistance.
Annual Cost to Federal Government:
$283,701,377
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:
02/25/2022
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