Office of Child Support Enforcement (OCSE) Stafford Act Flexibilities Request Form

Forms and Documents

Document Name	Status
Form 1 OCSE Stafford Act Flexibilities Request Form Form and Instruction	New
Supporting Statements with OMB Instructions - OCSE - Stafford Act 01122021 CLEAN.docx Supporting Statement A	2021-01-12

IC Document Collections

IC ID	Document Title	Status
245299	OCSE Stafford Act Flexibilities Request Form Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202101-0970-004
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: OCSE
Title: Office of Child Support Enforcement (OCSE) Stafford Act Flexibilities Request Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/19/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	114	0
Time Burden (Hours)	114	0
Cost Burden (Dollars)	0	0

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Abstract: Section 301 of the Stafford Act, 42 U.S.C. § 5141, provides that “Any Federal agency charged with the administration of a Federal assistance program may, if so requested by the applicant state [or Indian tribal government] or local authorities, modify or waive, for a major disaster, such administrative conditions for assistance as would otherwise prevent the giving of assistance under such programs if the inability to meet such conditions is a result of the major disaster.” To communicate that child support agencies may request relief from the impact of the COVID-19 pandemic under the Stafford Act, on May 28, 2020, OCSE published Dear Colleague Letter (DCL) 20-04: Flexibilities for State and Tribal Child Support Agencies during COVID-19. OCSE requests approval to use a short, streamlined, standardized form for state and tribal IV-D agencies to request administrative flexibilities under the Stafford Act, as described in DCL-20-04. The data elements for this collection instrument/form correspond to the types of information states and tribes need to provide to OCSE, as described in the DCL. Having a form to collect the DCL data elements will allow OCSE to create a transparent, uniform, organized, and fair process that will facilitate decision-making and record keeping.

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Authorizing Statute(s): US Code: 42 USC § 5141 Name of Law: The Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford 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 70634	11/05/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 14929	03/19/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
OCSE Stafford Act Flexibilities Request Form	1	Stafford Act Request Form

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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	114	0	0	114	0	0
Annual Time Burden (Hours)	114	0	0	114	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: This is a new collection.

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Annual Cost to Federal Government: $9,063

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? Yes

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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: 03/19/2021

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