Crisis Counseling Assistance and Training Program, Regular Services Program Application

Crisis Counseling Assistance and Training Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0085 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 003-0-2 Crisis Counseling Assistance and Training Program, Regular Services Program Application Form
FEMA Form 003-0-2 Application for Crisis Counseling Program Services (Regu FEMA Form 003-0-2, 6-30-14.pdf media.samhsa.gov/DTAC-CCPToolkit/applying.htm Form

Information Collection (IC) Details

IC Title:	Crisis Counseling Assistance and Training Program, Regular Services Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.171

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 003-0-2	Application for Crisis Counseling Program Services (Regular Services Program)	FEMA Form 003-0-2, 6-30-14.pdf	http://media.samhsa.gov/DTAC-CCPToolkit/applying.htm	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMA-009 – Hazard Mitigation Assistance Grant Programs	FR Citation: 77 FR 17783

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15	6	9
Annual IC Time Burden (Hours)	300	-240	540
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.