Federal Assistance to Individuals and Households Program (IHP)

Forms and Documents

Document Name	Status
Form FEMA Form 010-0-11 Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form	Modified
Form FEMA Form 010-0-12 Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction	Modified
Supporting Statement for OMB Collection 1660-0061.docx Supporting Statement A	2014-05-30
Published 30 Day FRN for OMB Collection 1660-0061, 5-28-2014.pdf Supplementary Document	2014-05-30
Forms Revision Chart for FEMA Form 010-0-12S (Spanish) (052714).doc Supplementary Document	2014-05-27
Forms Revision Chart for FEMA Form 010-0-12, English (051314).doc Supplementary Document	2014-05-19
Published 60 Day FRN for OMB Collection 1660-0061, 2-24-2014.pdf Supplementary Document	2014-05-05
Stafford Act Booklet 042213.pdf Supplementary Document	2014-04-18
FEMA NoC Document Narrative of Changes from Last Submission, OMB Collection 1660-0061.docx Supplementary Document	2014-05-30
PTA, FEMA, Federal Assistance to Individuals and Households Program (IHP) (Child Care Tribal Update), 20131021, PRIV FINAL.pdf Supplementary Document	2014-04-18
Disaster Recovery Assistance Files SORN Final Fed Reg 20130430.pdf Supplementary Document	2014-05-05
PIA, FEMA-DMARTS, 20130515, FINAL [signed].pdf Supplementary Document	2014-04-18
Robert_T_Stafford_Act_Sec_408.pdf Supplementary Document	2013-10-22
44 CFR 206.120.pdf Supplementary Document	2014-04-18
44 CFR 206.115.pdf Supplementary Document	2014-04-18
44 CFR 206.114.pdf Supplementary Document	2014-04-18
44_CFR_206.112.pdf Supplementary Document	2013-10-22
44_CFR_206.110.pdf Supplementary Document	2013-10-22
SRIA copy.pdf Supplementary Document	2013-10-22

IC Document Collections

IC ID	Document Title	Status
21141	Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form	Modified
204030	Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction	Modified
185597	Development of State Administrative Plan for the Other Needs Provison of IHP Other-Regulation	Modified
185596	Appeal of Program Decision Other-Regulation	Modified
185595	Request for Continued Assistance Other-Regulation	Modified
185594	Request for Approval of Late Registration Other-Regulation	Modified

ICR Details

OMB Control No: 1660-0061	ICR Reference No: 201404-1660-001
Status: Historical Active	Previous ICR Reference No: 201309-1660-004
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Federal Assistance to Individuals and Households Program (IHP)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/29/2014
	Date Received in OIRA: 05/30/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	36 Months From Approved	07/31/2014
Responses	78,399	0	561,042
Time Burden (Hours)	65,267	0	500,807
Cost Burden (Dollars)	0	0	0

---

Abstract: The IHP allows applicants to request approval of late application request continued assistance, and appeal program decisions. It also allows States and FEMA partnerships for disaster assistance delivery via agreements and plans.

---

Authorizing Statute(s): PL: Pub.L. 106 - 390 408 Name of Law: Robert T Stafford Disaster Relief and Emergency Assistance Act
   US Code: 44 USC 206 Name of Law: Federal Disaster Assistance for Disasters Declared on or after November 23 1988
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 10175	02/24/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 30633	05/28/2014
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Appeal of Program Decision
Request for Approval of Late Registration
Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection	FEMA Form 010-0-11	Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection
Development of State Administrative Plan for the Other Needs Provison of IHP
Solicitud para Continuar la Asistencia de Vivienda Temporera	FEMA Form 010-0-12S	Solicitud para Continuar la Asistencia de Vivienda Temporera
Request for Continued Assistance	FEMA Form 010-0-12	Application for Continued Temporary Housing Assistance (Request for Continued Asisstance)

---

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	78,399	561,042	0	0	-482,643	0
Annual Time Burden (Hours)	65,267	500,807	0	0	-435,540	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: Disaster activity can fluctuate from year to year, to include the type of peril in which the disaster was declared (i.e., tornado, flood, hurricane, etc.), the magnitude of the population and area affected, and affected population rate of insurance coverage; which thus causes a fluctuation in the average number of disaster applicants that seek assistance from FEMA. There has been no increase in the burden hours for the data collection instruments. Some data collection instruments (i.e., Request for Approval of Late Registration; Request for Continued Assistance, FEMA Form 010-0-12; Solicitud para Continuar la Asistencia de Vivienda Temporera, FEMA Form 010-0-12S; and Appeal for Program Decision) saw a decrease in the total number of respondents. Data collection instruments (i.e., Request for Continued Assistance, FEMA Form 010-0-12; Solicitud para Continuar la Asistencia de Vivienda Temporera, FEMA Form 010-0-12S) have been updated to provide better instructions to the public regarding the completion of the forms and the necessity of the supporting documentation. As stated above, these minor changes have not increased the burden hours for the data collection instruments.

---

Annual Cost to Federal Government: $213,556

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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

---

Common Form ICR:  No

---

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: 05/30/2014

---