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Services for Planning Emergency Action and Response Form (Standard - Current)
Generic Disaster Information Collection Forms
OMB: 0970-0476
IC ID: 276140
OMB.report
HHS/ACF
OMB 0970-0476
ICR 202507-0970-006
IC 276140
( )
Documents and Forms
Document Name
Document Type
Form 1
Services for Planning Emergency Action and Response Form (Standard - Current)
Form
1 Services for Planning Emergency Action and Response Form
Services for Planning Emergency Action and Response Form (Generic).docx
Form
Disaster Info Collection Submission Form_F.docx
GenIC - Services for Planning Emergency Action and Response Form (Standard)
IC Document
Clean-Change Request for DICF.docx
NonSub change - Services for Planning Emergency Action and Response Form (Standard)
IC Document
NOA_OHSPER ACF and OCC GenIC NonSub Chgs_0970-0476_6.18.25.pdf
NOA - Services for Planning Emergency Action and Response Form (Standard)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Services for Planning Emergency Action and Response Form (Standard - Current)
Agency IC Tracking Number:
ACF - All Programs
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
Services for Planning Emergency Action and Response Form (Standard)
Services for Planning Emergency Action and Response Form (Generic).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
400
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
85 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
400
0
400
0
0
0
Annual IC Time Burden (Hours)
40
0
40
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC - Services for Planning Emergency Action and Response Form (Standard)
Disaster Info Collection Submission Form_F.docx
07/03/2025
NonSub change - Services for Planning Emergency Action and Response Form (Standard)
Clean-Change Request for DICF.docx
07/03/2025
NOA - Services for Planning Emergency Action and Response Form (Standard)
NOA_OHSPER ACF and OCC GenIC NonSub Chgs_0970-0476_6.18.25.pdf
07/03/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.