Crisis Counseling Assistance and Training Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HHS-5161-1 Checklist	Form	Removed	Available
Form HHS-5161-1 HHS Checklist	Form	Removed	Repair queued
Project / Performance Site Location(s)	Form	Removed	Available
Project / Performance Site Location(s) Form	Form	Removed	Repair queued
Form Standard Form 425 Federal Financial Report	Form and Instruction	Removed	Available
Form Standard Form 425 Federal Financial Report, SF-425	Form and Instruction	Removed	Repair queued
Form Standard Form 424A Budget Information - Non-Construction Programs	Form	Removed	Available
Form Standard Form 424A Budget Information - Non-Construction Programs, SF-424A	Form	Removed	Repair queued
Form Standard Form 424 Application for Federal Assistance	Form	Removed	Available
Form Standard Form 424 Application for Federal Assistance, SF-424	Form	Removed	Available
Form FEMA Form FF-104-F CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application	Form and Instruction	Modified	Available
Form FEMA Form FF-104-F CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-104-F CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application	Form and Instruction	Modified	Available
Form FEMA Form FF-104-F CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application	Form and Instruction	Modified	Repair queued
1660-0085 - Supporting Statement A - 2022 11 28 clean.docx	Supporting Statement A	Uploaded 2022-11-28	Repair queued
1660-0085 - Published 30-Day Revision FRN - 2022 11 28.pdf	Supplementary Document	Uploaded 2022-11-28	Repair queued
1660-0085 - Published 60-Day Revision FRN 2022 08 24.pdf	Supplementary Document	Uploaded 2022-11-10	Repair queued
44 CFR 206-171.pdf	Supplementary Document	Uploaded 2014-08-04	Repair queued
42 USC 5183.pdf	Supplementary Document	Uploaded 2014-06-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46384	CCP/ISP Final Report Narrative, (Immediate Services Program) / No Form		Modified
212214	HHS Checklist	Form	Removed	Checklist
212214	HHS Checklist	Form	Removed
212213	Project / Performance Site Location(s) Form	Form	Removed	Project / Performance Site Location(s)
212213	Project / Performance Site Location(s) Form	Form	Removed
212209	Federal Financial Report, SF-425	Form and Instruction	Removed	Federal Financial Report
212209	Federal Financial Report, SF-425	Form and Instruction	Removed
212206	Budget Information - Non-Construction Programs, SF-424A	Form	Removed	Budget Information - Non-Construction Programs
212206	Budget Information - Non-Construction Programs, SF-424A	Form	Removed
212204	Application for Federal Assistance, SF-424	Form	Removed	Application for Federal Assistance
212204	Application for Federal Assistance, SF-424	Form	Removed
21184	CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application	Form and Instruction	Modified	CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application
21184	CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application	Form and Instruction	Modified
205477	CCP/RSP Final Report Narrative, (Regular Services Program) / No Form		Modified
205476	CCP/RSP Quarterly Report Narrative, (Regular Services Program) / No Form		Modified
205468	CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application	Form and Instruction	Modified	CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application
205468	CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application	Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0085	ICR Reference No: 202211-1660-004
Status: Historical Active	Previous ICR Reference No: 201801-1660-004
Agency/Subagency: DHS/FEMA	Agency Tracking No: BRI
Title: Crisis Counseling Assistance and Training Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/28/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/30/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	03/31/2023
Responses	108	0	165
Time Burden (Hours)	1,728	0	1,515
Cost Burden (Dollars)	0	0	0

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Abstract: The Crisis Counseling Assistance and Training Program (CCP) consists of two grant programs, the Immediate Services Program (ISP) and the Regular Services Program (RSP). The ISP and RSP provide supplemental funding to states and Federally recognized Tribes following a Presidentially declared major disaster under the Stafford Act. These grant programs provide funding for training and services, including community outreach, public education, and counseling techniques. States and Federally recognized Tribes are required to submit an application that provides information on Needs Assessment, Plan of Service, Program Management, and an accompanying Budget.

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Authorizing Statute(s): PL: Pub.L. 93 - 288 416 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
  

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:
	87 FR 52018	08/24/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 73021	11/28/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Application for Federal Assistance, SF-424	Standard Form 424	Application for Federal Assistance
Budget Information - Non-Construction Programs, SF-424A	Standard Form 424A	Budget Information - Non-Construction Programs
CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application	FEMA Form FF-104-FY-21-148 (formerly 003-0-1)	CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application
CCP/ISP Final Report Narrative, (Immediate Services Program) / No Form
CCP/RSP Final Report Narrative, (Regular Services Program) / No Form
CCP/RSP Quarterly Report Narrative, (Regular Services Program) / No Form
CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application	FEMA Form FF-104-FY-21-149 (formerly 003-0-2)	CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application
Federal Financial Report, SF-425	Standard Form 425	Federal Financial Report
HHS Checklist	HHS-5161-1	Checklist
Project / Performance Site Location(s) Form	None	Project / Performance Site Location(s)

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ICR Summary of Burden

table that charts list 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	108	165	0	-57	0	0
Annual Time Burden (Hours)	1,728	1,515	0	213	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: There has been an increase in the number of Presidentially declared major disasters which have been approved for Crisis Counseling Immediate Services Program and Regular Services Program. This increase in the total number of respondents per year has increased the total number of Annual Burden Hours. FEMA is also removing the burden hours from all OMB and HHS instruments from this collection, as their burden should be reflected in the collections owned by OMB and HHS. There has been an increase in the number of Presidentially declared major disasters which have been approved for Crisis Counseling Immediate Services Program and Regular Services Program. This increase in the total number of respondents per year has increased the total amount of Annual Cost Burden. FEMA is also removing the burden hours from all OMB and HHS instruments from this collection, as their burden should be reflected in the collections owned by OMB and HHS.

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Annual Cost to Federal Government: $156,729

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.     No

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: 11/30/2022

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