Disaster Assistance Registration

Forms and Documents

Document Name	Status
Form 009-0-1 Disaster Assistance Registration Form	Unchanged
Form FEMA Form 009-0-1T Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA Form and Instruction	New
Form 009-0-3 Declaration and Release Form	Unchanged
Form 009-0-6 Manufactured Housing Unit Revocable License and Receipt for Government Property Form	Unchanged
Form FEMA Form 009-0-2I Internet Application Registration For Disaster Assistance Form and Instruction	Unchanged
Form FEMA Form 009-01T Tele-Registration Application For Disaster Assistance Form and Instruction	Unchanged
1660-0002 Supporting Statement_COVID Funeral - ILB Privacy edits.docx Supporting Statement A	2021-03-18
1660-0002 CAO-CIO Signed Emergency Request Justification Memo - COVID Funeral - FINAL.pdf Supplementary Document	2021-03-18
Stafford Act Booklet 042213, (Sec 408).pdf Supplementary Document	2021-02-16
SRIA copy.pdf Supplementary Document	2021-02-16
Personal Responsibility and Work Opportunity Reconciliation.pdf Supplementary Document	2021-02-16
Title 44 cfr 206.117.pdf Supplementary Document	2021-02-16
44 CFR sec 206-110.pdf Supplementary Document	2021-02-16
Published 30 Day FRN.pdf Supplementary Document	2021-01-19
Published 60 Day FRN.pdf Supplementary Document	2021-01-19
NOC_009-0-2Int (Spanish).docx Supplementary Document	2021-01-19
NOC_009-0-2 (Spanish).docx Supplementary Document	2021-01-19
NOC_009-0-1T (English).docx Supplementary Document	2021-01-19
NOC_009-0-1Int (English).docx Supplementary Document	2021-01-19
NOC_009-0-1 (English).docx Supplementary Document	2021-01-19

IC Document Collections

IC ID	Document Title	Status
41292	Disaster Assistance Registration Form	Unchanged
246283	Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA Form and Instruction	New
208764	Request for Information (RFI) Letter Other-Letter	Modified
178884	Declaration and Release Form	Unchanged
178883	Manufactured Housing Unit Revocable License and Receipt for Government Property Form	Unchanged
178839	Internet Application Registration For Disaster Assistance Form and Instruction	Unchanged
178838	Tele-Registration Application For Disaster Assistance Form and Instruction	Unchanged

ICR Details

OMB Control No: 1660-0002	ICR Reference No: 202103-1660-006
Status: Received in OIRA	Previous ICR Reference No: 202101-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Disaster Assistance Registration
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/18/2021
Date Submitted to OIRA: 03/18/2021

	Requested	Previously Approved
Expiration Date	6 Months From Approved	03/31/2024
Responses	2,004,488	1,004,488
Time Burden (Hours)	622,707	356,007
Cost Burden (Dollars)	0	0

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Abstract: The forms in this collection are used to obtain pertinent information to provide financial assistance, and if necessary, direct assistance to eligible individuals and households who, as a direct result of a disaster or emergency, have uninsured or under-insured, necessary or serious expenses they are unable to meet. To provide meaningful access to individuals with disabilities throughout FEMA programs, the revision to the collection will obtain pertinent disability-related information.

Emergency Justfication: It is vital that the revisions to the currently approved information collection be implemented as soon as possible due to the Consolidated Appropriations Act, 2021 signed into law on December 27, 2020, which allocated up to two (2) billion dollars to provide financial assistance to individuals or households with COVID-19 related funeral expenses.

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Authorizing Statute(s): US Code: 8 USC 1601 Name of Law: Personnel Responsibility and Work Opportunity Reconciliation Act of 1996
   US Code: 42 USC 5174 Name of Law: Disaster Mitigation Act of 2000
   PL: Pub.L. 93 - 288 0000 Name of Law: Robert T. Stafford Disaster Relief and Emergency Assistance Act
   PL: Pub.L. 116 - 260 133 Name of Law: Consolidated Appropriations Act, of 2021
  

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Tele-Registration Application for COVID-19 Funeral Assist. (English) FF 009-0-1T-COVID-FA	FEMA Form 009-0-1T English	Tele-Registration Application for COVID-19 Funeral Assistance (English)
Tele-Registration Application For Disaster Assistance	FEMA Form 009-01T, Assement Questions, FEMA Form 009-01T Spanish	Tele-Registration Application for Disaster Assistance ,   Assessment Questions ,   Tele-Registration Application for Disaster Assistance
Internet Application Registration For Disaster Assistance	FEMA Form 009-0-2Int, Self Assessment Questions, FEMA Form 009-0-1Int	Internet Application Registration For Disaster Assistance ,   Self Assessment Questions ,   Internet Application Registration For Disaster Assistance
Request for Information (RFI) Letter
Disaster Assistance Registration	009-0-1, 009-0-2	Application / Registration for Disaster Assistance ,   Application / Registration for Disaster Assistance
Manufactured Housing Unit Revocable License and Receipt for Government Property	009-0-6, 009-0-5	Temporary Housing Progam-Receipt for Government Property (Spanish) ,   Temporary Housing Program - Receipt for Government Property
Declaration and Release	009-0-3, 009-0-4	Declaration and Release Form ,   Declaration and Release (Spanish)

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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	2,004,488	1,004,488	0	1,000,000	0	0
Annual Time Burden (Hours)	622,707	356,007	0	266,700	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: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden hour change is a result of the Consolidated Appropriations Act, 2021 and the need for FEMA to submit an Emergency Request to implement a COVID-19 Funeral Assistance registration process. Specifically, the modified use of 009-0-1T, Tele-Registration as new instrument 009-0-1T-COVID-FA increased burden hours by 183,350 due to the estimated number of individuals who will apply for COVID-19 Funeral Assistance, and the RFI hours increased by 92,019 due to the documentation required to verify COVID-19 funeral expenses and to prevent a duplication of benefits.

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Annual Cost to Federal Government: $32,192,627

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.     Yes

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? 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: 03/18/2021

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