Services for Planning Emergency Action and Response Form (Standard - Current)

Generic Disaster Information Collection Forms

OMB: 0970-0476

IC ID: 276140

Information Collection (IC) Details

View Information Collection (IC)

Services for Planning Emergency Action and Response Form (Standard - Current) ACF - All Programs
 
New
 
Voluntary
 

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

Community and Social Services Social Services

 

400 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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

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.

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