View Information Collection Request (ICR) Package

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View Generic ICR - OIRA Conclusion

OMB Control No: 1660-0159	ICR Reference No: 202404-1660-002
Status: Active	Previous ICR Reference No: 202403-1660-006
Agency/Subagency: DHS/FEMA	Agency Tracking No: Change Request
Title: Generic Clearance for Notice of Loss and Proof of Loss
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: 04/05/2024
	Date Received in OIRA: 04/05/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2026	11/30/2026	11/30/2026
Responses	1,149,000	0	1,149,000
Time Burden (Hours)	2,929,962	0	1,149,000
Cost Burden (Dollars)	0	0	126,427,860

Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
4th Batch of Hermit's Peak Instrument (New)	FF-104-FY-24-122
5th Batch of Hermit's Peak Instruments (Revised)	FEMA Form FF-104-FY-22-251-A, Form FF-104-FY-22-230-A, FEMA Form FF-104-FY-22-253-A, FEMA Form FF-104-FY-22-252-A, FEMA Form FF-104-FY-22-231-A	, , , ,
6th Batch of Hermit's Peak Instruments (New)	FF-104-FY-24-122-ES, FF-104-FY-24-114-ES, FF-104-FY-24-115-ES , FF-104-FY-24-116-A, FF-104-FY-24-121-ES, FF-104-FY-24-117-ES	, , , , ,
7th Batch of Hermit's Peak Instruments (New)	FF-104-FY-25-100 , FEMA Form FF-104-FY-25-100-A	,
8th Batch of Hermit's Peak Instruments (New)	FEMA Form FF-104-FY-25-102-A, FEMA Form FF-104-FY-25-102	,
Generic Clearance for Notice of Loss and Proof of Loss	FEMA Form FF-104-FY-22-252-A, FEMA Forn FF-104-FY-22-231-A, FEMA Form FF-104-FY-22-231, FEMA Form FF-104-FY-22-253, FEMA Form FF-104-FY-22-253-A, FEMA Form FF-104-FY-22-230, FEMA Form FF-104-FY-22-230-A, FEMA Form FF-104-FY-22-254, FEMA Form FF-104-FY-22-252, FEMA Form FF-104-FY-22-254-A, FEMA Form FF-104-FY-22-251, FEMA Form FF-104-FY-22-251-A	, , , , , , , , , , ,
Second Batch of Hermits Peak Instruments (Revised)	FEMA Form FF-104-FY-22-231-A, FEMA Form FF-104-FY-22-230-A, FEMA Form FF-104-FY-22-231, FEMA Form FF-104-FY-22-251, FEMA Form FF-104-FY-22-251-A, FEMA Form FF-104-FY-22-252, FEMA Form FF-104-FY-22-253, FEMA Form FF-104-FY-22-230	, , , , , , ,
Third Batch of Hermits Peak Instruments (New)	FEMA Form FF-104-FY-24-114, FEMA Form FF-104-FY-24-115, FEMA Form FF-104-FY-24-116, FEMA Form FF-104-FY-24-117, FEMA Form FF-104-FY-24-121	, , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,149,000	1,149,000	0
Annual Time Burden (Hours)	2,929,962	1,149,000	1,780,962
Annual Cost Burden (Dollars)	0	126,427,860	-126,427,860

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: This increase is a technical correction to the previous change request workflow. The requested increase in burden hours now matches between the Change Request form and ROCIS.

Annual Cost to Federal Government: $65,103,002

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. No

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. No

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: Krista Robinson 202 394-6377 krista.robinson@fema.dhs.gov

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