Generic Disaster Information Collection Forms

Forms and Documents

Document Name	Status
Form 1 Services for Planning Emergency Action and Response Form (Standard - Current) Form	New
Form 1 Runaway and Homeless Youth Program Disaster Information Collection Form Form	New
Form 1 Office of Head Start Disaster Information Collection Form Form	New
Form 1 Office of Child Care Disaster Information Collection Form Form	New
Form 1 Family Violence Prevention and Services Program Disaster Information Collection Form Form	New
Form 1 Children's Bureau Disaster Information Collection Form Form	New
Supporting Statement A DICF June 2025 (0970-0476)_Fnl.docx Supporting Statement A	2025-07-03

IC Document Collections

IC ID	Document Title	Status
276140	Services for Planning Emergency Action and Response Form (Standard - Current) Form	New
276139	Runaway and Homeless Youth Program Disaster Information Collection Form Form	New
276138	Office of Head Start Disaster Information Collection Form Form	New
276120	Office of Child Care Disaster Information Collection Form Form	New
276119	Family Violence Prevention and Services Program Disaster Information Collection Form Form	New
276117	Children's Bureau Disaster Information Collection Form Form	New

ICR Details

OMB Control No: 0970-0476	ICR Reference No: 202507-0970-006
Status: Received in OIRA	Previous ICR Reference No: 202503-0970-013
Agency/Subagency: HHS/ACF	Agency Tracking No: OHSPER
Title: Generic Disaster Information Collection Forms
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/17/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2025
Responses	507	87
Time Burden (Hours)	164	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 Disaster Information Collection Forms tailored for each of the following five 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. ACF also has a standard Disaster Information Collection Form (Services for Planning Emergency Action and Response Form) that can be used as-is, or tailored by program offices to create their own form for submission under this generic. 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 substantive changes to the overarching generic or the forms approved under this generic.

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Authorizing Statute(s): PL: Pub.L. 118 - 47 Div.D, Tit.II, 138 St.460, 667 Name of Law: Further Consolidated Appropriations Act, 2024
   PL: Pub.L. 119 - 4 1102 Name of Law: Full-Year Continuing Appropriations and Extensions 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:
	90 FR 20675	05/15/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 33386	07/17/2025
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Children's Bureau Disaster Information Collection Form	1	Children’s Bureau Information Collection Form
Family Violence Prevention and Services 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 Program Disaster Information Collection Form	1	Runaway and Homeless Youth (RHY) Disaster Information Collection Plan
Services for Planning Emergency Action and Response Form (Standard - Current)	1	Services for Planning Emergency Action and Response Form (Standard)

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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	507	87	0	420	0	0
Annual Time Burden (Hours)	164	124	0	40	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 substantive changes to the information collection since the last OMB approval. A non-substantive change request to update two forms was approved in June 2025. This request is to continue use of the overarching generic clearance, including submission of new GenICs and the continued use of previously approved GenICs.

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Annual Cost to Federal Government: $13,106

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: 07/17/2025

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