CNCS Disaster Response Cooperative Agreement

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Disaster Cooperative Agreements Application Instructions	Form and Instruction	New	Available
Form 1 Application and Procedures	Form and Instruction	Removed	Available
Form 10/30 Disaster Deployment Summary and Instruction Form	Form and Instruction	Removed	Repair queued
Form 9/30 CNCS - Disaster Deployment Reimbursement Request Form	Form	Removed	Available
2012 Disaster Cooperative Agreements Justification.docx	Supporting Statement A	Uploaded 2012-01-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200922	Disaster Recovery Cooperative Agreements	Form and Instruction	New	Disaster Cooperative Agreements Application Instructions
187713	CNCS Disaster Response Cooperative Agreement	Form and Instruction	Removed	Application and Procedures
187713	CNCS Disaster Response Cooperative Agreement	Form and Instruction	Removed	Disaster Deployment Summary and Instruction Form
187713	CNCS Disaster Response Cooperative Agreement	Instruction	Removed
187713	CNCS Disaster Response Cooperative Agreement	Form	Removed	CNCS - Disaster Deployment Reimbursement Request Form

ICR Details

OMB Control No: 3045-0133	ICR Reference No: 201201-3045-003
Status: Historical Active	Previous ICR Reference No: 200812-3045-001
Agency/Subagency: CNCS	Agency Tracking No:
Title: CNCS Disaster Response Cooperative Agreement
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: 03/28/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/27/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	03/31/2012
Responses	100	0	100
Time Burden (Hours)	200	0	200
Cost Burden (Dollars)	0	0	0

---

Abstract: Existing CNCS statutes require a formal agreement to be established between CNCS and grantees to allow for the reimbursement of grantee expenses incurred while supporting CNCS mission assigned activities.

---

Authorizing Statute(s): US Code: 42 USC 5121-5206 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act)
   US Code: 42 USC P12651g (b) Name of Law: National and Community Service Act of 1990
   EO: EO 12148 Name/Subject of EO: Federal Emergency Management
  

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:
	76 FR 64328	10/18/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 4283	01/27/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
CNCS Disaster Response Cooperative Agreement	10/30, 9/30, 1	CNCS - Disaster Deployment Reimbursement Request Form ,   Disaster Deployment Summary and Instruction Form ,   Application and Procedures
Disaster Recovery Cooperative Agreements	1	Disaster Cooperative Agreements Application Instructions

---

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	100	100	0	0	0	0
Annual Time Burden (Hours)	200	200	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: The burden has remained the same but shows as an increase and decrease due to removing the former IC and adding the new one.

---

Annual Cost to Federal Government: $0

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

---

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: 01/27/2012

---