Federal Assistance to Individuals and Households Program (IHP)

Forms and Documents

Document Name	Status
Form FEMA Form FF-104-F Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction	Modified
Form FEMA Form FF-104-F Authorization for the Release of Information Under the Privacy Act Form and Instruction	Modified
Form FEMA Form FF-104-F Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction	Modified
Form FEMA Form FF-104-F Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction	Modified
Form FEMA Form FF-104-F Solicitud de Adelanto de la Asistencia por Desastre Form	Modified
Form FEMA Form FF-104-F Request for Advance Disaster Assistance Form	Modified
Form FEMA Form 009-0-95 Solicitud de Adelanto de la Asistencia por Desastre Form and Instruction	Removed
Form FEMA Form FF-104-F Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form	Modified
Form FEMA Form FF-104-F Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction	Modified
SORN DHS-FEMA-008 - Disaster Recovery Assistance Files (75 FR 25282).pdf Supplementary Document	2022-02-10
privacy-pia-fema-049-ia-january2018.pdf Supplementary Document	2022-02-10
1660-0061 Emergency Justification Memo 2022 02 14 Signed.pdf Supplementary Document	2022-02-14
1660-0061 Emergency Supporting Statement A 2022 02 14 clean.docx Supporting Statement A	2022-02-14
Robert_T_Stafford_Act_Sec_408.pdf Supplementary Document	2013-10-22
44 CFR 206.120.pdf Supplementary Document	2014-04-18
44 CFR 206.115.pdf Supplementary Document	2014-04-18
44 CFR 206.114.pdf Supplementary Document	2014-04-18
44_CFR_206.112.pdf Supplementary Document	2013-10-22
44_CFR_206.110.pdf Supplementary Document	2013-10-22
SRIA copy.pdf Supplementary Document	2013-10-22

IC Document Collections

IC ID	Document Title	Status
242028	Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction	Modified
242027	Authorization for the Release of Information Under the Privacy Act Form and Instruction	Modified
242024	Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction	Modified
242023	Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction	Modified
242022	Solicitud de Adelanto de la Asistencia por Desastre Form	Modified
242020	Request for Advance Disaster Assistance Form	Modified
242019	Solicitud de Adelanto de la Asistencia por Desastre Form and Instruction	Removed
21141	Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form	Modified
204030	Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction	Modified
185597	Development of State Administrative Plan for the Other Needs Provison of IHP Other-Regulation	Unchanged
185596	Appeal of Program Decision Other-Regulation	Modified
185595	Individual and Households Program Application for Continued Temporary Housing Assistance Other-Regulation	Modified
185594	Request for Approval of Late Registration Other-Regulation	Modified

ICR Details

OMB Control No: 1660-0061	ICR Reference No: 202202-1660-001
Status: Active	Previous ICR Reference No: 202005-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No: Emergency - Appeals
Title: Federal Assistance to Individuals and Households Program (IHP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 02/16/2022
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/14/2022
	Date Received in OIRA: 02/14/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	6 Months From Approved	01/31/2024
Responses	112,089	0	185,109
Time Burden (Hours)	98,609	0	150,836
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection provides disaster survivors the opportunity to request approval of late applications, continued temporary housing assistance, request advance disaster assistance, stop payments not received in order to be reissued funds, and to appeal program decisions. This collection also allows for the establishment of an annual agreement between FEMA and states, territories, and tribal governments regarding how the Other Needs provision of IHP will be administered: by FEMA, by the state, territory, or tribal government, or jointly.

Emergency Justfication: On August 16, 2021, FEMA requested emergency approval to increase the types of documentation FEMA may accept from applicants for disaster assistance to demonstrate eligibility under the IHP during the Disaster Assistance Registration period. FEMA had become aware that IHP requirements for verification of eligibility during registration were creating barriers to assistance. As a result, OMB approved our expansion of documentation acceptance during disaster assistance registration earlier this year. Emergency approval of the proposed revisions to this collection is required to ensure FEMA is able to more efficiently administer the IHP assistance and evolve in order to more equitably support the ongoing pandemic response and meet the historical demands of disaster response. The ongoing impacts of the COVID-19 pandemic, in concert with the current flu season and fluctuating restrictions have impacted the timely availability of essential services. Medical and dental providers sometimes require applications to pay for documentation or for providers to complete required forms. This poses additional barriers to disaster survivors by limiting their ability to obtain personal, public, and commercial records to verify their eligibility and further underscores the need for FEMA to rapidly implement alternatives to traditional means of verifying disaster survivor IHP eligibility.

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Authorizing Statute(s): PL: Pub.L. 106 - 390 408 Name of Law: Robert T Stafford Disaster Relief and Emergency Assistance Act
   US Code: 44 USC 206 Name of Law: Federal Disaster Assistance for Disasters Declared on or after November 23 1988
  

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

IC Title	Form No.	Form Name
Appeal of Program Decision
Authorization for the Release of Information Under the Privacy Act	FEMA Form FF-104-FY-21-118 (formerly 140-003d-1)	Authorization for the Release of Information Under the Privacy Act
Autorización para la Divulgación de Información bajo el Acta de Privacidad	FEMA Form FF-104-FY-21-118-A (formerly 140-003d-1S	Authorization for the Release of Information Under the Privacy Act
Development of State Administrative Plan for the Other Needs Provison of IHP
Individual and Households Program Application for Continued Temporary Housing Assistance	FEMA Form FF-104-FY-21-115 (formerly 010-0-12)	Application for Continued Temporary Housing Assistance (Request for Continued Asisstance)
Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection	FEMA Form FF-104-FY-21-114 (formerly 010-0-11)	Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection
Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera	FEMA Form FF-104-FY-21-115-A (formerly 010-0-12S)	Solicitud para Continuar la Asistencia de Vivienda Temporera
Request for Advance Disaster Assistance	FEMA Form FF-104-FY-21-116 (formerly 009-0-95)	Request for Advance Disaster Assistance
Request for Approval of Late Registration
Request to Stop Payment and Reissue Disaster Assistance Check	FEMA Form FF-104-FY-21-117 (formerly 009-0-96)	Request to Stop Payment and Reissue Disaster Assistance Check
Solicitud de Adelanto de la Asistencia por Desastre	FEMA Form FF-104-FY-21-116-A (formerly 009-0-95S)	Solicitud de Adelanto de la Asistencia por Desastre
Solicitud de Adelanto de la Asistencia por Desastre	FEMA Form 009-0-95	Request for Advance Disaster Assistance
Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre	FEMA Form FF-104-FY-21-117-A (formerly 009-0-96S)	Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre

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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	112,089	185,109	0	-72,968	-52	0
Annual Time Burden (Hours)	98,609	150,836	0	-52,218	-9	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 decrease in annual cost burden for the Appeal of Program Decision / No Form instrument is due to a decrease in the number of years included in review period. There was also a duplicate of the former 009-0-95S labeled as 009-0-95 that was removed due to that duplication. All instruments had a slight increase in Average Burden per Response due to a change in how they were rounded (to the tenth instead of to the hundredth).

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Annual Cost to Federal Government: $1,078,561

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.     No

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? No

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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: 02/14/2022

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