NOA - CB Disaster Information Collection Form

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

07/15/2022

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Karl Mathias

FOR CLEARANCE OFFICER:

Terry Clark

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
05/19/2022
ACTION REQUESTED:

Extension without change of a currently approved collection

IC TITLE:
ICR REFERENCE NUMBER:

202205-0970-008

AGENCY ICR TRACKING NUMBER:
TITLE:

OHSPER

Generic Disaster Information Collection Form

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved with change
OMB CONTROL NUMBER:

0970-0476

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 07/31/2025

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

97

89

0

New

87

124

0

0

0

0

-10

35

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE:
OMB Authorizing Official:

Dominic J. Mancini
Deputy Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Children's Bureau
1
Children’s Bureau
Disaster Information
Information Collection
Collection Form
Form
Family Violence
1
Family Violence
Prevention Service
Prevention Service
Program Disaster
Program Disaster
Information Collection
Information Collection
Form
Form
Office of Child Care
1
Office of Child Care
Disaster Information
Disaster Information
Collection Form
Collection Form
Office of Head Start
1
Office of Head Start
Disaster Information
Disaster Information
Collection Form
Collection Form
Runaway and
1
Runaway and Homeless
Homeless Youth
Youth (RHY) Disaster
Disaster Information
Information Collection
Collection Form
Plan
Future Program Office
Disaster Information
Collection Forms
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
10 / 0 / 10
10 / 0 / 10

14 / 0 / 7
20 / 0 / 10
10 / 0 / 10

60 / 0 / 40
124