Case Management Plan – Case Manager

Office of Human Services Emergency Preparedness and Response Disaster Human Services Case Management Intake Assessment, Resource Referral, and Case Management Plan

OMB: 0970-0619

IC ID: 262631

Information Collection (IC) Details

View Information Collection (IC)

Case Management Plan – Case Manager
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 Case Management Plan 2 - ACF OHSEPR DHSCM Case Management Plan.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

OHESPR Repatriation and Disaster Human Services Case Management Records  88 FR 63109

180 0
   
Individuals or Households
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 9,000 0 0 0 0 9,000
Annual IC Time Burden (Hours) 9,000 0 0 0 0 9,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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