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

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

06/18/2025

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Kevin Duvall

FOR CLEARANCE OFFICER:

Catherine Howard

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
05/28/2025
ACTION REQUESTED:

No material or nonsubstantive change to a currently approved collection

IC TITLE:
ICR REFERENCE NUMBER:

202503-0970-013

AGENCY ICR TRACKING NUMBER:
TITLE:

OHSPER

Generic Disaster Information Collection Forms

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0476

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 07/31/2025

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

87

124

0

New

87

124

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the previous clearance remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Deputy Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Children's Bureau
1
Children’s Bureau
Disaster Information
Information Collection
Collection Form
Form
Family Violence
1
Family Violence
Prevention Service
Prevention Service
Program Disaster
Program Disaster
Information Collection
Information Collection
Form
Form
Office of Child Care
1
Office of Child Care
Disaster Information
Disaster Information
Collection Form
Collection Form
Office of Head Start
1
Office of Head Start
Disaster Information
Disaster Information
Collection Form
Collection Form
Runaway and
1
Runaway and Homeless
Homeless Youth
Youth (RHY) Disaster
Disaster Information
Information Collection
Collection Form
Plan
Administration for
Children and Families
Disaster Information
Collection Form
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
10 / 0 / 10
10 / 0 / 10

14 / 0 / 7
20 / 0 / 10
10 / 0 / 10

60 / 0 / 40

124