Federal Assistance to Individuals and Households Program (IHP)

Forms and Documents

Document Name	Status
Form FEMA Form 140-003d Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction	New
Form FEMA Form 140-003d Authorization for the Release of Information Under the Privacy Act Form and Instruction	New
Form FEMA Form 009-0-96 Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction	New
Form FEMA Form 009-0-96 Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction	New
Form FEMA Form 009-0-95 Solicitud de Adelanto de la Asistencia por Desastre Form	New
Form FEMA Form 009-0-95 Request for Advance Disaster Assistance Form	New
Form FEMA Form 009-0-95 Solicitud de Adelanto de la Asistencia por Desastre Form and Instruction
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 Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera Form and Instruction	Modified
Published 30 Day.pdf Supplementary Document	2020-05-28
Published 60 Day FRN.pdf Supplementary Document	2020-05-28
NPLATE.RTF Supplementary Document	2017-11-28
ILATE.RTF Supplementary Document	2017-11-28
NLATE.RTF Supplementary Document	2017-11-28
Declaration Package_Region VIII.pdf Supplementary Document	2017-11-28
Supporting Statement A Final.docx Supporting Statement A	2020-05-28
Stafford Act Booklet 042213.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
242028	Autorización para la Divulgación de Información bajo el Acta de Privacidad Form and Instruction	New
242027	Authorization for the Release of Information Under the Privacy Act Form and Instruction	New
242024	Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre Form and Instruction	New
242023	Request to Stop Payment and Reissue Disaster Assistance Check Form and Instruction	New
242022	Solicitud de Adelanto de la Asistencia por Desastre Form	New
242020	Request for Advance Disaster Assistance Form	New
242019	Solicitud de Adelanto de la Asistencia por Desastre Form and Instruction
21141	Individuals and Households Program (IHP) - Other Needs Assistance Administrative Option Selection Form	Modified
204030	Programa de Individuos y Familias 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	Individual and Households Program Application for Continued Temporary Housing Assistance Other-Regulation	Modified
185594	Request for Approval of Late Registration Other-Regulation	Modified

ICR Details

OMB Control No: 1660-0061	ICR Reference No: 202005-1660-005
Status: Received in OIRA	Previous ICR Reference No: 201708-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Federal Assistance to Individuals and Households Program (IHP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/31/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	185,109	78,399
Time Burden (Hours)	150,836	65,267
Cost Burden (Dollars)	0	0

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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.

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Authorizing Statute(s): US Code: 44 USC 206 Name of Law: Federal Disaster Assistance for Disasters Declared on or after November 23 1988
   PL: Pub.L. 106 - 390 408 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:
	85 FR 14212	03/11/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 31196	05/22/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

IC Title	Form No.	Form Name
Individual and Households Program Application for Continued Temporary Housing Assistance	FEMA Form 010-0-12	Application for Continued Temporary Housing Assistance (Request for Continued Asisstance)
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
Programa de Individuos y Familias Solicitud para Continuar la Asistencia de Vivienda Temporera	FEMA Form 010-0-12S	Solicitud para Continuar la Asistencia de Vivienda Temporera
Solicitud de Adelanto de la Asistencia por Desastre	FEMA Form 009-0-95	Request for Advance Disaster Assistance
Request to Stop Payment and Reissue Disaster Assistance Check	FEMA Form 009-0-96	Request to Stop Payment and Reissue Disaster Assistance Check
Request for Advance Disaster Assistance	FEMA Form 009-0-95	Request for Advance Disaster Assistance
Solicitud de Adelanto de la Asistencia por Desastre	FEMA Form 009-0-95S	Solicitud de Adelanto de la Asistencia por Desastre
Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre	FEMA Form 009-0-96S	Solicitud para Detener el Pago y Reemitir el Cheque de Asistencia por Desastre
Authorization for the Release of Information Under the Privacy Act	FEMA Form 140-003d-1	Authorization for the Release of Information Under the Privacy Act
Autorización para la Divulgación de Información bajo el Acta de Privacidad	FEMA Form 140-003d-1S	Authorization for the Release of Information Under the Privacy Act

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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	185,109	78,399	0	106,710	0	0
Annual Time Burden (Hours)	150,836	65,267	0	85,569	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This information collection is being revised to include several new forms: FF 009-0-95, FF 009-0-95S, FF 009-0-96, FF 009-0-96S, FF 140-003d-1, and FF 140-003d-1S. The addition of these forms benefits applicants by providing them with streamlined processes for requesting advance disaster assistance, requesting assistance sent by check be stopped and reissued if not received, and to authorize the release of their information to designated third parties. The addition of these new forms, along with updated estimates for the current forms in the collection based off historical data received from FEMA’s Recovery Reporting and Analytics Division (RAD), has led to an overall increase in annual burden hours.

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Annual Cost to Federal Government: $1,089,213

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.     Yes

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: 05/31/2020

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