New
collection (Request for a new OMB Control Number)
No
Regular
12/07/2021
Requested
Previously Approved
36 Months From Approved
75,000
0
48,000
0
0
0
This collection tool will primarily be
used as a guide to support FEMA-administered Disaster Case
Management (DCM) case managers by outlining the allowable data
elements they can collect from survivors on behalf of FEMA. While
there will be a paper collection tool, the case managers will
primarily be using the tool as a reference of data elements they
can collect, and using their own case management database systems
to guide the order in which the elements are collected. The
elements within the tool are used to assess, screen, and refer
disaster survivors to available resources that address their
specific disaster-related unmet needs. Case managers then take the
information from the intake form and manually upload the data into
their secured case management database. Prior to any data
collection, survivors will complete and sign a FEMA-administered
DCM Consent Form, authorizing FEMA, or its agent, to collect data
from the survivor in order to effectively provide case management
services.
US Code:
42
USC 5189d Name of Law: Case Management Services
Krista Robinson 202 394-6377
krista.robinson@fema.dhs.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.