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	Modified
Form 009-0-3 Declaration and Release Form	Modified
Form 009-0-6 Manufactured Housing Unit Revocable License and Receipt for Government Property 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
Published 30 Day FRN.pdf Supplementary Document	2018-12-14
Published 60 Day FRN.pdf Supplementary Document	2018-12-14
Narrative of Changes 09-0-1TLM 9.14.18 (002).docx Supplementary Document	2018-09-15
IDP_ APPENDIX A 91418.docx Supplementary Document	2018-09-15
Narrative of Changes 009-0-1S (English) 9.2018.docx Supplementary Document	2018-09-15
Narrative of Changes 009-0-1Int (English) 9.2018.docx Supplementary Document	2018-09-15
Narrative of Changes 009-0-1 9.2018.docx Supplementary Document	2018-09-15
Privacy Notice 009-0-1 and 009-0-206082017 to DHS.doc Supplementary Document	2018-09-15
privacy-pia-fema-049-ia-january2018.pdf Supplementary Document	2018-09-15
1660-0002 Supporting Statement A FINAL1.docx Supporting Statement A	2019-07-02
SRIA copy.pdf Supplementary Document	2013-09-20
Approved SORN, Federal Register, Volume 78 Issue 83 (Tuesday, April 30, 2013).mht Supplementary Document	2014-05-09
Personal Responsibility and Work Opportunity Reconciliation.pdf Supplementary Document	2014-05-09
Title 44 cfr 206.117.pdf Supplementary Document	2011-11-30
44 CFR sec 206-110.pdf Supplementary Document	2014-05-09
Stafford Act Booklet 042213, (Sec 408).pdf Supplementary Document	2014-05-09

IC Document Collections

IC ID	Document Title	Status
41292	Disaster Assistance Registration Form	Modified
208764	Request for Information (RFI) Letter Other-Letter	Modified
200703	Smartphone Application for Disaster Assistance Form and Instruction	Modified
178884	Declaration and Release Form	Modified
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property 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: 201812-1660-002
Status: Historical Active	Previous ICR Reference No: 201809-1660-001
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 with change	Conclusion Date: 08/06/2019
	Date Received in OIRA: 01/31/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	36 Months From Approved	08/31/2019
Responses	2,221,579	0	3,264,753
Time Burden (Hours)	649,902	0	628,036
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
   PL: Pub.L. 93 - 288 0000 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
   US Code: 8 USC 1601 Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
  

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:
	83 FR 48855	09/27/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 64141	12/13/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Smartphone Application for Disaster Assistance	009-0-1S, 009-0-2S, Self Assessment Questions	Smartphone Application for Disaster Assistance ,   Smartphone Application for Disaster Assistance ,   Self Assessment Questions
Tele-Registration Application For Disaster Assistance	FEMA Form 009-01T, Assement Questions	Tele-Registration Application for Disaster Assistance ,   Assessment Questions
Internet Application Registration For Disaster Assistance	FEMA Form 009-0-2Int, Self Assessment Questions, FEMA Form 009-0-1Int	Internet Application Registration For Disaster Assistance ,   Internet Application Registration For Disaster Assistance ,   Self Assessment Questions
Request for Information (RFI) Letter
Disaster Assistance Registration	009-0-1, 009-0-2	Application / Registration for Disaster Assistance ,   Application / Registration for Disaster Assistance
Manufactured Housing Unit Revocable License and Receipt for Government Property	009-0-6, 009-0-5	Temporary Housing Progam-Receipt for Government Property (Spanish) ,   Temporary Housing Program - Receipt for Government Property
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	2,221,579	3,264,753	0	-1,043,174	0	0
Annual Time Burden (Hours)	649,902	628,036	0	21,866	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: This collection is being revised in order to capture applicant self-assessment information as well as identifying information. There is an increase in burden.

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Annual Cost to Federal Government: $28,705,098

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 01/31/2019

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