FEMA-Administered Disaster Case Management (DCM)

ICR 202111-1660-002

OMB: 1660-0152

Federal Form Document

IC Document Collections
ICR Details
202111-1660-002
Received in OIRA
DHS/FEMA 1660-NW132
FEMA-Administered Disaster Case Management (DCM)
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
  
None

Not associated with rulemaking

  86 FR 34266 06/29/2021
86 FR 64223 11/17/2021
No

2
IC Title Form No. Form Name
FEMA-Administered DCM Consent Form FEMA Form FF-104-FY-21-147 FEMA-Administered DCM Concent Form
FEMA-Administered DCM Intake Form FEMA Form FF-104-FY-21-146 FEMA-Administered DCM Intake Form

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 75,000 0 0 75,000 0 0
Annual Time Burden (Hours) 48,000 0 0 48,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$51,640,374
No
    Yes
    No
No
No
No
No
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.
12/07/2021


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