Disaster Information Collection Form

OMB Control Number: 0970-0476

Expiration date: 03/31/2019

This is a non-material change reflecting a change in the total burden hours. The estimated average burden hours per response (form) is one hour, or 60 minutes. This will change the total burden hours from the estimated average of 12 hours to 60 hours on average. This is an estimate based on a single disaster per year. The estimate takes into account approximately 10 state administrators, or grantees to go through an entire program-specific form for 6 times in one disaster (meaning reporting out 6 times during a single disaster).

An updated estimate of annualized burden hours and costs is below.

12. Estimates of Annualized Burden Hours and Costs

The burden cap for the Disaster Information Collection Form is estimated based on a single disaster per year. The estimate is for approximately 10 state administrators, or grantees to go through all of the applicable questions with the Regional and Central Office staff. Some ACF programs have more questions and may have more respondents.

Instrument	Number of Respondents	Number of Responses per Respondent	Burden Hours per Response	Total Burden Hours
Disaster Information Collection Form	10	6	1 hour	60 hours

An estimate of the number of disasters that would warrant data collection is difficult to calculate due to the unpredictable nature of disasters. For example, in 2012, there were 95 disasters nationwide but OHSEPR did not collect data on all of them because they had minimal effects on ACF programs.