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Administration for Children and Families Disaster Information Collection Form
Generic Disaster Information Collection Forms
OMB: 0970-0476
IC ID: 256464
OMB.report
HHS/ACF
OMB 0970-0476
ICR 202503-0970-013
IC 256464
( )
Documents and Forms
Document Name
Document Type
Grantee_Need-OMB-approval - CLEAN.docx
Other-Survey
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
Grantee_Need-OMB-approval - CLEAN.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
40
0
0
0
0
40
Annual IC Time Burden (Hours)
60
0
0
0
0
60
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
ACF DICF GenIC Submission Form
Disaster Info Collection Submission Form_F.docx
10/17/2022
NonSub Change - ACF DICF Clarifications and Burden Reductions
Clean-Change Request for DICF.docx
03/25/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.