Information Collection

Crisis Counseling Assistance and Training Program, Immediate Services Program Application

IC 21184 under ICR 201212-1660-001 · OMB 1660-0085.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0085 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 00-3-0-1 Crisis Counseling Assistance and Training Program, Immediate Services Program Application Form and Instruction
FEMA Form 00-3-0-1 Crisis Counseling Assistance and Training Program, Immed FEMA Form 003-0-1, ISP_Application.(1).doc www.samhsa.gov/dtac/CCPtoolkit/CCPmaterials.htm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Crisis Counseling Assistance and Training Program, Immediate Services Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 206.171

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 00-3-0-1	Crisis Counseling Assistance and Training Program, Immediate Services Program Application	FEMA Form 003-0-1, ISP_Application.(1).doc	http://www.samhsa.gov/dtac/CCPtoolkit/CCPmaterials.htm	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/FEMAÂ004 Grant Management Information Files System of Records	FR Citation: 74 FR 39705

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	1,080	1,080
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.