Disaster Assistance Registration

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 009-0-2 Application / Registration for Disaster Assistance	Form	Modified	Available
Form 009-0-1 Application / Registration for Disaster Assistance	Form	Modified	Available
Form 009-0-4 Declaration and Release (Spanish)	Form	Unchanged	Available
Form 009-0-3 Declaration and Release Form	Form	Unchanged	Available
Form 009-0-6 Temporary Housing Progam-Receipt for Government Property (Spanish)	Form	Unchanged	Available
Form 009-0-5 Temporary Housing Program - Receipt for Government Property	Form	Unchanged	Repair queued
Form 009-0-2 Electronic Version	Form and Instruction	Modified	Available
Form 009-0-1 Electronic Version	Form and Instruction	Modified	Available
83-C 1660-0002 signed.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-15	Available
Supporting Documentation for OMB 83-C 9-21-10.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2010-10-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
41292	Disaster Assistance Registration	Form	Modified	Application / Registration for Disaster Assistance
41292	Disaster Assistance Registration	Form	Modified	Application / Registration for Disaster Assistance
178884	Declaration and Release	Form	Unchanged	Declaration and Release (Spanish)
178884	Declaration and Release	Form	Unchanged	Declaration and Release Form
178883	Temporary Housing Program	Form	Unchanged	Temporary Housing Progam-Receipt for Government Property (Spanish)
178883	Temporary Housing Program	Form	Unchanged	Temporary Housing Program - Receipt for Government Property
178839	Internet Application Registration For Disaster Assistance	Form and Instruction	Modified	Electronic Version
178839	Internet Application Registration For Disaster Assistance	Form and Instruction	Modified	Electronic Version
178838	Tele-Registration Application For Disaster Assistance	Other-Tele-Registration Script	Modified

ICR Details

OMB Control No: 1660-0002	ICR Reference No: 201010-1660-001
Status: Historical Active	Previous ICR Reference No: 201005-1660-003
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Disaster Assistance Registration
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: 12/10/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/21/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	08/31/2013	08/31/2013
Responses	2,835,180	0	2,835,180
Time Burden (Hours)	555,009	0	555,009
Cost Burden (Dollars)	0	0	0

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Abstract: Disaster Assistance Registration is a program used to provide financial assistance and, if necessary, direct assistance to eligible individuals and households who, as a direct result of a disaster, have uninsured or under-insured, necessary expenses and serious needs and are unable to meet such expenses or needs through other financial means.

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Authorizing Statute(s): US Code: 42 USC 5174 Name of Law: Disaster Mitigation Act of 2000
   US Code: 8 USC 1601 Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
   PL: Pub.L. 93 - 288 0000 Name of Law: Rebert T. Stafford Disaster Relief and Emergency Assistance Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 68851	12/29/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 24733	05/05/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Declaration and Release	009-0-3, 009-0-4	Declaration and Release Form ,   Declaration and Release (Spanish)
Disaster Assistance Registration	009-0-1, 009-0-2	Application / Registration for Disaster Assistance ,   Application / Registration for Disaster Assistance
Internet Application Registration For Disaster Assistance	009-0-2, 009-0-1	Electronic Version ,   Electronic Version
Tele-Registration Application For Disaster Assistance
Temporary Housing Program	009-0-6, 009-0-5	Temporary Housing Progam-Receipt for Government Property (Spanish) ,   Temporary Housing Program - Receipt for Government Property

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ICR Summary of Burden

table that charts list 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	2,835,180	2,835,180	0	0	0	0
Annual Time Burden (Hours)	555,009	555,009	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:

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Annual Cost to Federal Government: $15,618,762

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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: 10/21/2010

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