Survivor Sheltering Assessment

ICR 202102-1660-004

OMB: 1660-0142

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supplementary Document
2021-02-24
Supplementary Document
2021-02-19
Supplementary Document
2021-02-19
Supplementary Document
2021-02-19
Supplementary Document
2021-02-19
Supplementary Document
2021-02-19
Supplementary Document
2021-02-19
Supplementary Document
2021-02-19
Supporting Statement A
2021-02-24
ICR Details
1660-0142 202102-1660-004
Received in OIRA 202009-1660-001
DHS/FEMA
Survivor Sheltering Assessment
Revision of a currently approved collection   No
Regular 03/15/2021
  Requested Previously Approved
36 Months From Approved 03/31/2021
51,200 51,200
8,535 8,535
0 0

This collection is used to collect information from survivors in shelters regarding the pre-disaster housing situation and post disaster housing plans. The information will be used by FEMA to understand the scope of the FEMA requirement to provide housing and rental assistance to those displaced by natural and manmade disaster. This will ensure that FEMA delivers housing and rental services without duplicating the benefits other Agencies are responsible for providing based on survivor’s pre-disaster housing situation. Aggregated reports will be used by staff in the Joint Field Office to plan and execute shelter depopulation strategies. Individual survivor information collected with this assessment will be used solely for the planning and delivery of FEMA services.

PL: Pub.L. 93 - 288 0000 Name of Law: Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
   US Code: 42 USC 5174 Name of Law: Disaster Mitigation Act of 2000
  
None

Not associated with rulemaking

  85 FR 80126 12/11/2020
86 FR 11310 02/24/2021
No

2
IC Title Form No. Form Name
Survivor Sheltering Assessment Tool
Survivor Sheltering Assessment FEMA Form 009-0-42AV Survivor Sheltering Assessment Alternate Version

  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 51,200 51,200 0 0 0 0
Annual Time Burden (Hours) 8,535 8,535 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$307,884
No
    Yes
    Yes
No
No
No
Yes
Kevin Crosby 202 550-6482 kevin.crosby@fema.dhs.gov

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/15/2021


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