Generic Disaster Information Collection Forms

Forms and Documents

Document Name	Status
Form 1 Runaway and Homeless Youth Disaster Information Collection Form Form	Unchanged
Form 1 Office of Head Start Disaster Information Collection Form Form	Unchanged
Form 1 Office of Child Care Disaster Information Collection Form Form	Modified
Form 1 Family Violence Prevention Service Program Disaster Information Collection Form Form	Unchanged
Form 1 Children's Bureau Disaster Information Collection Form Form	Unchanged
Clean-Change Request for DICF.docx Justification for No Material/Nonsubstantive Change	2025-03-25
Change Request - OCC DICF - 07March2025 (1).docx Justification for No Material/Nonsubstantive Change	2025-03-25
NonSub Change Request - OHSEPR Generic Burden Adjustment.docx Justification for No Material/Nonsubstantive Change	2022-10-04
NonSub Change - Generic DICM OCC OHS 7.15.22.docx Justification for No Material/Nonsubstantive Change	2022-07-15
OMB Control Number 0970-0476 Comments - 30 Day_ACF Response.docx Supplementary Document	2022-07-13
Disaster Info Collection Submission Form.docx Supplementary Document	2022-05-16
Supporting Statement A_DICP_097-0476_05-2022_Final.docx Supporting Statement A	2022-05-17

IC Document Collections

IC ID	Document Title	Status
256464	Administration for Children and Families Disaster Information Collection Form Other-Survey	Modified
253541	Runaway and Homeless Youth Disaster Information Collection Form Form	Unchanged
253537	Office of Head Start Disaster Information Collection Form Form	Unchanged
253536	Office of Child Care Disaster Information Collection Form Form	Modified
253535	Family Violence Prevention Service Program Disaster Information Collection Form Form	Unchanged
253531	Children's Bureau Disaster Information Collection Form Form	Unchanged

ICR Details

OMB Control No: 0970-0476	ICR Reference No: 202503-0970-013
Status: Received in OIRA	Previous ICR Reference No: 202210-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: OHSPER
Title: Generic Disaster Information Collection Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/28/2025

	Requested	Previously Approved
Expiration Date	07/31/2025	07/31/2025
Responses	87	87
Time Burden (Hours)	124	124
Cost Burden (Dollars)	0	0

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Abstract: The Administration for Children and Families (ACF) requests an extension of the generic Disaster Information Collection Form. Under this generic clearance, ACF currently has five Disaster Information Collection Forms (DICF) tailored for each of the five following ACF offices or programs: the Children’s Bureau, the Family Violence Prevention and Services Program, the Office of Child Care, the Office of Head Start, and the Runaway and Homeless Youth (RHY) Program. This request is to continue use of those forms and extend approval of the overarching generic to allow for potential new submissions over the next three years. There are no changes to the overarching generic or the forms approved under this generic. ACF is required under Presidential Policy Directive 8, the National Response Framework, and the National Disaster Recovery Framework to report the impacts of disasters and the status of continuity of services and recovery on ACF-supported human services programs to the Department of Health and Human Services Secretary's Operation Center. The assessment information collected in the DICFs is used to provide near-real time updates during the response and recovery phases of a disaster. The information is collected on the programs that fall within the disaster-affected and neighboring areas. Process: The ACF Office of Human Services Emergency Preparedness and Response (OHSEPR) reaches out to ACF program offices to determine any impacts on the normal operations of program services. Impact information is collected through the DICFs by the ACF program offices through requests to grantees and state administrators. The information is forwarded to ACF/OHSEPR for analysis and assessment of interruption to ACF services as a result of the disaster.

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Authorizing Statute(s): PL: Pub.L. 113 - 5 102 Name of Law: Pandemic and All-Hazards Preparedness Reauthorization Act
   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:
	87 FR 15253	03/17/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 30500	05/19/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Administration for Children and Families Disaster Information Collection Form
Children's Bureau Disaster Information Collection Form	1	Children’s Bureau Information Collection Form
Family Violence Prevention Service Program Disaster Information Collection Form	1	Family Violence Prevention Service Program Disaster Information Collection Form
Office of Child Care Disaster Information Collection Form	1	Office of Child Care Disaster Information Collection Form
Office of Head Start Disaster Information Collection Form	1	Office of Head Start Disaster Information Collection Form
Runaway and Homeless Youth Disaster Information Collection Form	1	Runaway and Homeless Youth (RHY) Disaster Information Collection Plan

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ICR Summary of Burden

	Total Request	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	87	87	0	0	0	0
Annual Time Burden (Hours)	124	124	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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: $9,121

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? No

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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: 05/28/2025

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