Generic Disaster Information Collection Form

Forms and Documents

Document Name	Status
Form 1 Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Form and Instruction	New
Form 1 Runaway and Homeless Youth (RHY) Disaster Information Collection Plan Form and Instruction	New
Form 1 Office of Head Start (OHS) Disaster Information Collection Form Form and Instruction	New
Form 1 Office of Child Care Disaster Information Collection Plan Form and Instruction	New
Form 1 Children's Bureau Information Collection Plan Form	New
Disaster Info Collection Submission Form.doc Supplementary Document	2019-04-04
NOA Showing Previously Approved GenICs.pdf Supplementary Document	2019-04-02
OHSEPR Generic Supporting Statement April 2019.docx Supporting Statement A	2019-04-04

IC Document Collections

IC ID	Document Title	Status
235569	Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Form and Instruction	New
235568	Runaway and Homeless Youth (RHY) Disaster Information Collection Plan Form and Instruction	New
235567	Office of Head Start (OHS) Disaster Information Collection Form Form and Instruction	New
235564	Office of Child Care Disaster Information Collection Plan Form and Instruction	New
235563	Children's Bureau Information Collection Plan Form	New

ICR Details

OMB Control No: 0970-0476	ICR Reference No: 201904-0970-001
Status: Active	Previous ICR Reference No: 201709-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: OHSPER
Title: Generic Disaster Information Collection Form
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/16/2019
	Date Received in OIRA: 04/09/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2022	36 Months From Approved
Responses	97	0	0
Time Burden (Hours)	89	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request by the Administration for Children and Families (ACF) for a generic clearance for the Disaster Information Collection Form. An approval for a generic clearance is being requested because each of the thirteen program offices within ACF has a slightly different need for information about program impact information collection during a disaster. ACF oversees more than 60 programs that affect the normal day to day operations of families, children, individuals and communities in the United States. Many of these programs encourage grantees or state administrators to develop emergency preparedness plans, but do not have statutory authority to require these plans be in place. ACF facilitates the inclusion of emergency preparedness planning and training efforts for ACF programs. Presidential Policy Directive-8 (PPD-8) provides federal guidance and planning procedures under established phases – protection, preparedness, response, recovery, and mitigation. The Disaster Information Collection Forms addressed in this clearance process provide assessment of ACF programs in disaster response, and recovery. ACF/Office of Human Services Emergency Preparedness and Response (OHSEPR) has a requirement under PPD-8, the National Response Framework, and the National Disaster Recovery Framework to report disaster impacts to ACF-supported human services programs to the HHS Secretary’s Operation Center (SOC) and interagency partners. ACF/OHSEPR works in partnership with the Assistant Secretary for Preparedness and Response (ASPR), and the Federal Emergency Management Agency (FEMA) to report assessments of disaster impacted ACF programs and the status of continuity of services and recovery.

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Authorizing Statute(s): PL: Pub.L. 93 - 288 589 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:
	84 FR 1739	02/05/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 14120	04/09/2019
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Office of Child Care Disaster Information Collection Plan	1	Office of Child Care Disaster Information Collection Plan
Runaway and Homeless Youth (RHY) Disaster Information Collection Plan	1	Runaway and Homeless Youth (RHY) Disaster Information Collection Plan
Children's Bureau Information Collection Plan	1	CB Disaster Info Collection
Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan	1	Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan
Office of Head Start (OHS) Disaster Information Collection Form	1	Office of Head Start (OHS) Disaster Information Collection Form

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ICR Summary 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	97	0	0	97	0	0
Annual Time Burden (Hours)	89	0	0	89	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: No

Burden Reduction Due to:

Short Statement: There are no changes to the information collection since the last OMB approval. This request is to continue use of the overarching generic clearance, including submission of new generic information collections (GenICs) and the continued use of previously approved GenICs.

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Annual Cost to Federal Government: $7,526

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? Uncollected

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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: 04/09/2019

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