Information Collection

Administration for Children and Families Disaster Information Collection Form

IC 256464 under ICR 202503-0970-013 · OMB 0970-0476.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0476 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Grantee_Need-OMB-approval - CLEAN.docx	Other-Survey
Grantee_Need-OMB-approval - CLEAN.docx	Other-Survey
Disaster Info Collection Submission Form_F.docx ACF DICF GenIC Submission Form	IC Document
Disaster Info Collection Submission Form_F.docx ACF DICF GenIC Submission Form	IC Document
Clean-Change Request for DICF.docx NonSub Change - ACF DICF Clarifications and Burden Reductions	IC Document
Clean-Change Request for DICF.docx NonSub Change - ACF DICF Clarifications and Burden Reductions	IC Document

IC Title:

Administration for Children and Families Disaster Information Collection Form

Agency IC Tracking Number:

OHSEPR

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey					Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ACF DICF GenIC Submission Form		10/17/2022
NonSub Change - ACF DICF Clarifications and Burden Reductions		03/25/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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