NOA Showing All Previously Approved GenICs

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

09/18/2017

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Beth Killoran

FOR CLEARANCE OFFICER:

Darius Taylor

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
09/07/2017
ACTION REQUESTED:

No material or nonsubstantive change to a currently approved collection

IC TITLE:
ICR REFERENCE NUMBER:

201709-0970-001

AGENCY ICR TRACKING NUMBER:
TITLE:

OHSPER

Generic Disaster Information Collection Form

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0476

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 03/31/2019

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

150

60

0

New

200

200

0

0

0

0

Change due to Agency Discretion

50

140

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference
Change due to New Statute

TERMS OF CLEARANCE:
OMB Authorizing Official:

Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Children's Bureau
1
CB Disaster Information
Information Collection
Collection Form
Plan
Office of Child Care
1
OCC Disaster Information
Disaster Information
Collection Form
Collection Plan
Office of Head Start
1
OHS Disaster Information
(OHS) Disaster
Collection Form
Information Collection
Form
Runaway and
1
RHY Disaster Information
Homeless Youth (FHY)
Collection Form
Disaster Information
Collection Plan
Family Violence
1
FVPSP DICP
Prevention Services
Program (FVPSP)
Disaster Information
Collection Plan
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
10 / 0 / 10
14 / 0 / 7
20 / 0 / 10

10 / 0 / 10

0 / 0 / 10

54