Application - Equity Demographics Questions

Request for Approval under the “Generic Clearance Civil Rights and Equity”
(OMB Control Number: 1660-0154)
TITLE OF INFORMATION COLLECTION:
[Generic Civil Rights and Equity: 1660-0154]
PURPOSE: To obtain demographics of the customers of FEMA’s Individuals and Households
Program (IHP) for civil rights and equity evaluation purposes.
DESCRIPTION OF RESPONDENTS: Applicants for FEMA’s Individuals and Households
(IHP) disaster assistance program. Applicants may be new customers or previous customers for
IHP and will encompass individuals and households of the US and Territories that live in an area
declared by the President as a federal disaster.
TYPE OF COLLECTION: (Check one)
[ ] Customer Comment Card/Complaint Form
[ ] Usability Testing (e.g., Website or Software)
[ ] Focus Group

[ ] Customer Satisfaction Survey
[ ] Small Discussion Group
[X] Other: Demographic Data

CERTIFICATION:
I certify the following to be true:
1. FEMA intends to initially ask 6 demographic questions related to race, ethnicity, gender, tribal
enrollment, marital status, and education.
2. Additional demographics questions not included in the generic clearance (other than the 6
above) will be submitted to OMB for approval.
3. Demographics will not be used by any program to approve or deny grants or other funding to
individuals.
Digitally signed by JOHNATHAN M TORRES
JOHNATHAN
M
TORRES
Date: 2022.07.14 12:04:26 -04'00'
Name: _________________________________________________________________

[Johnathan Torres] (202) 212-1079
To assist review, please provide answers to the following question:
Personally Identifiable Information:
1. Is personally identifiable information (PII) collected? [X] Yes [ ] No
2. If Yes, will any information that is collected be included in records that are subject to the
Privacy Act of 1974? [X] Yes [ ] No
3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [X] No
Of Note: FEMA’s Equity Analysis SORN is in process, and we do not plan to ask these
demographics questions until the new SORN is approved by DHS.
Gifts or Payments:
Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to
participants? [ ] Yes [X] No

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BURDEN HOURS: The estimated annual burden to the public is 78,135 burden hours;
No. of
Respondents
938,800

Category of Respondent
Individuals or Households

Participation
Time
0.0833

Burden
Hours
78,135
78,135

Totals

FEDERAL COST: The estimated annual cost to the Federal government is $3,814,696;
Annual Cost to Federal Government
Staff Salaries: [[GS 9, step 5 employees1 at $48.78 (33.64 x 1.45)2 per hour spending an
additional 5 minutes per call for 938,800 call center registrations per year ($48.78 x 0.0833 x
938,800 = $3,814,696)]]
Computer Hardware & Software [Cost of equipment annual lifecycle sustainment cost]

Cost
$3,814,696

TOTAL

$3,814,696

$0

1 Office of Personnel Management 2022 Pay and Leave Tables for the Washington-Baltimore-Arlington, DC-MDVA-WV-PA locality. Available online at https://www.opm.gov/policy-data-oversight/pay-leave/salarieswages/salary-tables/pdf/2022/DCB_h.pdf. Accessed January 12, 2022.
2 Wage rate includes a 1.45 multiplier to reflect the fully-loaded wage rate.

If you are conducting a focus group, survey, or plan to employ statistical methods, please
provide answers to the following questions: N/A
The selection of your targeted respondents
1. Do you have a customer list or something similar that defines the universe of potential
respondents and do you have a sampling plan for selecting from this universe?
[ ] Yes [X] No
If the answer is yes, please provide a description of both below (or attach the sampling
plan)? If the answer is no, please provide a description of how you plan to identify your
potential group of respondents and how you will select them?
All IHP applicants are eligible to respond to the demographic question if they choose to.
Administration of the Instrument
1. How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media
[X] Telephone
[ ] In-person
[ ] Mail
[ ] Other, Explain
2. Will interviewers or facilitators be used? [X] Yes [ ] No
Note: For phone registrations, FEMA agents are used to take the phone calls from
disaster applicants.
Please make sure that all instruments, instructions, and scripts are submitted with the
request.

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Instructions for completing Request for Approval under the “Generic
Clearance for the Collection of Routine Customer Feedback”
TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the
subject of the request. (e.g. Comment card for soliciting feedback on xxxx)
PURPOSE: Provide a brief description of the purpose of this collection and how it will be used.
If this is part of a larger study or effort, please include this in your explanation.
DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or
groups for this collection of information. These groups must have experience with the program.
TYPE OF COLLECTION: Check one box. If you are requesting approval of other
instruments under the generic, you must complete a form for each instrument.
CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the
collection will be returned as improperly submitted or it will be disapproved.
Personally Identifiable Information: Provide answers to the questions. Note: Agencies
should only collect PII to the extent necessary, and they should only retain PII for the period of
time that is necessary to achieve a specific objective.
Gifts or Payments: If you answer yes to the question, please describe the incentive and provide
a justification for the amount.
BURDEN HOURS:
Category of Respondents: Identify who you expect the respondents to be in terms of the
following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal
governments; or (4) Federal Government. Only one type of respondent can be selected per row.
No. of Respondents: Provide an estimate of the Number of respondents.
Participation Time: Provide an estimate of the amount of time required for a respondent to
participate (e.g. fill out a survey or participate in a focus group)
Burden: Provide the Annual burden hours: Multiply the Number of responses and the
participation time and divide by 60.
FEDERAL COST: Provide an estimate of the annual cost to the Federal government.
If you are conducting a focus group, survey, or plan to employ statistical methods, please
provide answers to the following questions:
The selection of your targeted respondents. Please provide a description of how you plan to
identify your potential group of respondents and how you will select them. If the answer is yes,
to the first question, you may provide the sampling plan in an attachment.
Administration of the Instrument: Identify how the information will be collected. More than
one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or
facilitators (e.g., for focus groups) used.
Submit all instruments, instructions, and scripts are submitted with the request.

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