Disaster Assistance Registration

Forms and Documents

Document Name	Status
Form 009-0-1 Disaster Assistance Registration Form	Modified
Form 009-0-1S Smartphone Application for Disaster Assistance Form and Instruction	New
Form 009-0-3 Declaration and Release Form	Modified
Form 009-0-5 Temporary Housing Program Form	Modified
Form FEMA Form 009-0-1I Internet Application Registration For Disaster Assistance Form and Instruction	Modified
Form FEMA Form 009-01T Tele-Registration Application For Disaster Assistance Form and Instruction	Modified
Supporting Statement OMB Control# 1660-0002, 1-20-2012.docx Supporting Statement A	2012-02-01
Published 30-day FRN for OMB Control# 1660-0002, 1-17-2012.pdf Supplementary Document	2012-01-20
SORN, DHS-FEMA-008 Disaster Recovery Assistance Files 092409.pdf Supplementary Document	2012-01-05
PIA, Disaster Assistance Improvement Program 123108.pdf Supplementary Document	2012-01-05
PTA, DAIP, 20110118, final.pdf Supplementary Document	2012-01-05
FEMA NoC Document Narrative of Changes from Last Submission 1660-0002, 11-30-2011.docx Supplementary Document	2011-11-30
Published 60-day FRN for OMB Control# 1660-0002, 10-7-2011.pdf Supplementary Document	2011-11-30
Personal Responsiblity and Work Opportunity Reconciliation Act.pdf Supplementary Document	2011-11-30
Title 44 cfr 206.117.pdf Supplementary Document	2011-11-30
Title 44 Section 206.110.pdf Supplementary Document	2011-11-30
Robert T Stafford Act Section 408.docx Supplementary Document	2011-11-30

IC Document Collections

IC ID	Document Title	Status
41292	Disaster Assistance Registration Form	Modified
200703	Smartphone Application for Disaster Assistance Form and Instruction	New
178884	Declaration and Release Form	Modified
178883	Temporary Housing Program Form	Modified
178839	Internet Application Registration For Disaster Assistance Form and Instruction	Modified
178838	Tele-Registration Application For Disaster Assistance Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0002	ICR Reference No: 201111-1660-002
Status: Historical Active	Previous ICR Reference No: 201012-1660-002
Agency/Subagency: DHS/FEMA	Agency Tracking No:
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: 07/08/2012
	Date Received in OIRA: 04/10/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2015	36 Months From Approved	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: Robert 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:
	76 FR 62429	10/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 2306	01/17/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Smartphone Application for Disaster Assistance	009-0-1S, 009-0-2S	Smartphone Application for Disaster Assistance ,   Smartphone Application for Disaster Assistance
Disaster Assistance Registration	009-0-1, 009-0-2	Application / Registration for Disaster Assistance ,   Application / Registration for Disaster Assistance
Tele-Registration Application For Disaster Assistance	FEMA Form 009-01T	Tele-Registration Application for Disaster Assistance
Internet Application Registration For Disaster Assistance	FEMA Form 009-0-2Int, FEMA Form 009-0-1Int	Internet Application Registration For Disaster Assistance ,   Internet Application Registration For Disaster Assistance
Temporary Housing Program	009-0-6, 009-0-5	Temporary Housing Program - Receipt for Government Property ,   Temporary Housing Progam-Receipt for Government Property (Spanish)
Declaration and Release	009-0-3, 009-0-4	Declaration and Release Form ,   Declaration and Release (Spanish)

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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	2,835,180	2,835,180	0	192,447	-192,447	0
Annual Time Burden (Hours)	555,009	555,009	0	57,734	-57,734	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: No

Burden Reduction Due to:

Short Statement: FEMA Form 009-0-1T, Tele-Registration for Disaster Assistance (English), the previously approved burden hours is 345,377; the current estimated annual burden hours remains 345,377. It's expected that respondents will continue to utilize FEMA's 1-800 number to register for disaster assistance. FEMA Forms 009-0-1Int and 009-0-2Int, Internet for Disaster Assistance (English and Spanish), the previously approved burden hours were 154,646; the current estimated annual hour burden is 96,911.94. The difference is 57,734 hours. The adjustment in burden hour(s) results from applicants now having the option to register for disaster assistance using their Smartphone, which lessens the annual burden hours expected to use the internet as an option to register for disaster assistance. FEMA Forms 009-0-1and 009-0-2, Paper Application for Disaster Assistance (English and Spanish), the previously approved burden hours are 15,465; the current estimated annual burden hours remains 15,465. It's been estimated that the only time that paper applications will be used is when the phone line are down which only occurs on rare occasions. For FEMA Forms (English and Spanish) 009-0-1S and 009-0-2S, Smartphone for Disaster Assistance (English and Spanish) the previously approved burden hours were 0; the current estimated annual burden hour is 57,734, resulting in an adjustment of hours. The adjustment in burden hour(s) results from respondents now having the option to apply for disaster assistance using their Smartphone. FEMA Forms 009-0-3 and 009-0-4, Declaration and Release (English and Spanish), the previously approved burden hours are 36,657. The current estimated burden hours remains 36,657. It has been estimated the burden hours will remain the same. FEMA Form 009-0-5 (English) and 009-0-6 (Spanish), Receipt for Government Property, the previous approved burden hours are 2,864. The current estimated burden hours remains 2,864. It has been estimated the burden hours will remain the same.

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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: 04/10/2012

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