Information Collection

Crisis Counseling Assistance and Training Program, Regular Services Program Application

IC 205468 under ICR 201801-1660-004 · OMB 1660-0085.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Crisis Counseling Assistance and Training Program, Regular Services Program Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.171

Information Collection Instruments:

table that charts list of 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 â 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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.