Information Collection

Services for Planning Emergency Action and Response Form (Standard - Current)

IC 276140 under ICR 202507-0970-006 · OMB 0970-0476.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Services for Planning Emergency Action and Response Form (Standard - Current)	Form
Form 1 Services for Planning Emergency Action and Response Form (Standard) Services for Planning Emergency Action and Response Form (Standard - Current)	Form
1 Services for Planning Emergency Action and Response Form Services for Planning Emergency Action and Response Form (Generic).docx	Form
1 Services for Planning Emergency Action and Response Form Services for Planning Emergency Action and Response Form (Generic).docx	Form
Disaster Info Collection Submission Form_F.docx GenIC - Services for Planning Emergency Action and Response Form (Standard)	IC Document
Disaster Info Collection Submission Form_F.docx GenIC - Services for Planning Emergency Action and Response Form (Standard)	IC Document
Clean-Change Request for DICF.docx NonSub change - Services for Planning Emergency Action and Response Form (Standard)	IC Document
Clean-Change Request for DICF.docx NonSub change - Services for Planning Emergency Action and Response Form (Standard)	IC Document
NOA_OHSPER ACF and OCC GenIC NonSub Chgs_0970-0476_6.18.25.pdf NOA - Services for Planning Emergency Action and Response Form (Standard)	IC Document
NOA_OHSPER ACF and OCC GenIC NonSub Chgs_0970-0476_6.18.25.pdf NOA - Services for Planning Emergency Action and Response Form (Standard)	IC Document

IC Title:

Agency IC Tracking Number:

ACF - All Programs

IC Status: New

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
Form	1				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: 400

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: 85 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC - Services for Planning Emergency Action and Response Form (Standard)		07/03/2025
NonSub change - Services for Planning Emergency Action and Response Form (Standard)		07/03/2025
NOA - Services for Planning Emergency Action and Response Form (Standard)		07/03/2025

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

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