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:
1660-0061
ICR Reference No:
202312-1660-001
Status:
Historical Active
Previous ICR Reference No:
202212-1660-013
Agency/Subagency:
DHS/FEMA
Agency Tracking No:
Yup'ik Change Request
Title:
Federal Assistance to Individuals and Households Program (IHP)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/29/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/19/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2026
05/31/2026
05/31/2026
Responses
112,163
0
112,163
Time Burden (Hours)
64,328
0
64,328
Cost Burden (Dollars)
0
0
0
Abstract:
This added instrument is a translation of the current Authorization for the Release of Information under the Privacy Act, FEMA Form FF-104-FY-21-118 (formerly 140-003d-1) into the Yup'ik language stemming from the Presidentially declared disaster, FEMA-4672-DR-AK.
Authorizing Statute(s):
US Code:
44 USC 206
Name of Law: Federal Disaster Assistance for Disasters Declared on or after November 23 1988
PL:
Pub.L. 106 - 390 408
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
60-day Notice:
Federal Register Citation:
Citation Date:
87 FR 76064
12/12/2022
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 12397
02/27/2023
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
Appeal of Program Decision
Authorization for the Release of Information Under the Privacy Act
FEMA Form FF-104-FY-21-118 (formerly 140-003d-1), FEMA Form FF-104-FY-21-118-B (Yup'ik)
Authorization for the Release of Information Under the Privacy Act
,
Authorization for the Release of Information Under the Privacy Act
Autorización para la Divulgación de Información bajo el Acta de Privacidad
FEMA Form FF-104-FY-21-118-A (formerly 140-003d-1S
Authorization for the Release of Information Under the Privacy Act
Development of State Administrative Plan for the Other Needs Provison of IHP
Individual and Households Program Application for Continued Temporary Housing Assistance
FEMA Form FF-104-FY-21-115 (formerly 010-0-12)
Application for Continued Temporary Housing Assistance (Request for Continued Asisstance)
Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection
FEMA Form FF-104-FY-21-114 (formerly 010-0-11)
Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection
Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera
FEMA Form FF-104-FY-21-115-A (formerly 010-0-12S)
Solicitud para Continuar la Asistencia de Vivienda Temporera
Request for Advance Disaster Assistance
FEMA Form FF-104-FY-21-116 (formerly 009-0-95)
Request for Advance Disaster Assistance
Request for Approval of Late Registration
Request to Stop Payment and Reissue Disaster Assistance Check
FEMA Form FF-104-FY-21-117 (formerly 009-0-96)
Request to Stop Payment and Reissue Disaster Assistance Check
Solicitud de Adelanto de la Asistencia por Desastre
FEMA Form FF-104-FY-21-116-A (formerly 009-0-95S)
Solicitud de Adelanto de la Asistencia por Desastre
Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre
FEMA Form FF-104-FY-21-117-A (formerly 009-0-96S)
Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre
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
112,163
112,163
0
0
0
0
Annual Time Burden (Hours)
64,328
64,328
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
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:
$1,109,953
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?
No
Agency Contact:
Kevin Crosby 202 550-6482 kevin.crosby@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:
12/19/2023
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