Crisis Counseling Assistance and Training Program

OMB 1660-0085

Respondents (States and Territories) can apply to FEMA for financial assistance for counseling services after a federally declared disaster. The respondents provide information to demonstrate a need for supplemental financial assistance to relieve mental health problems caused by or aggravated by a major disaster or its aftermath.

The latest form for Crisis Counseling Assistance and Training Program expires 2022-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form HHS-5161-1 HHS Checklist Form
Project / Performance Site Location(s) Form Form
Form Standard Form 425 Federal Financial Report, SF-425 Form and Instruction
Form Standard Form 424A Budget Information - Non-Construction Programs, SF-424A Form
Form Standard Form 424 Application for Federal Assistance, SF-424 Form
Form FEMA Form FF-104-F CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application Form and Instruction
Form FEMA Form FF-104-F CCP/RSP Crisis Counseling Assistance and Training Program, Regular Services Program Application Form and Instruction
1660-0085 - Supporting Statement A - 2022 11 28 clean.docx Supporting Statement A
1660-0085 - Published 30-Day Revision FRN - 2022 11 28.pdf Supplementary Document
1660-0085 - Published 60-Day Revision FRN 2022 08 24.pdf Supplementary Document
44 CFR 206-171.pdf Supplementary Document
42 USC 5183.pdf Supplementary Document
CCP/ISP Final Report Narrative, (Immediate Services Program) / No Form
HHS Checklist Form
Project / Performance Site Location(s) Form Form
Federal Financial Report, SF-425 Form and Instruction
Budget Information - Non-Construction Programs, SF-424A Form
Application for Federal Assistance, SF-424 Form
CCP/ISP Crisis Counseling Assistance and Training Program, Immediate Services Program Application Form and Instruction
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 Form and Instruction

All Historical Document Collections

202211-1660-004 Approved without change	Revision of a currently approved collection	2022-11-30
201801-1660-004 Approved with change	Reinstatement with change of a previously approved collection	2018-03-31
201406-1660-001 Approved with change	Revision of a currently approved collection	2014-08-27
201212-1660-001 Approved with change	Revision of a currently approved collection	2013-03-29
200911-1660-004 Approved without change	Revision of a currently approved collection	2009-12-29
200609-1660-002 Approved without change	Revision of a currently approved collection	2006-09-15
200402-1660-006 Approved without change	Reinstatement with change of a previously approved collection	2004-02-24

OMB Details

Crisis Counseling Assistance and Training Program, Immediate Services Program Application

Federal Enterprise Architecture: Disaster Management - Disaster Preparedness and Planning

Form FEMA Form 00-3-0-1

Application for Counseling Program Service (Immediate Services Program)

media.samhsa.gov/DTAC-CCPToolkit/applying.htm

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.