Document ID: FEMA-2021-0018-0002
Agency: fema
Document Type: Notice
Title: Agency Information Collection Activities: Submission for OMB Review; Comment Request; FEMA-Administered Disaster Case Management Intake Form
Posted Date: 2021-11-17T05:00Z

[Federal Register Volume 86, Number 219 (Wednesday, November 17, 2021)]
[Notices]
[Pages 64223-64224]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-25101]

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DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

[Docket ID: FEMA-2021-0018; OMB No. 1660-NW132]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request; FEMA-Administered Disaster Case Management 
Intake Form

AGENCY: Federal Emergency Management Agency, Department of Homeland 
Security.

ACTION: 30-Day notice and request for comments.

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SUMMARY: The Federal Emergency Management Agency (FEMA) will submit the 
information collection abstracted below to the Office of Management and 
Budget for review and clearance in accordance with the requirements of 
the Paperwork Reduction Act of 1995. FEMA, as part of its continuing 
effort to reduce paperwork and respondent burden, invites the general 
public to take this opportunity to comment on an extension without 
change of a currently approved information collection.

DATES: Comments must be submitted on or before December 17, 2021.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting

[[Page 64224]]

``Currently under 30-day Review--Open for Public Comments'' or by using 
the search function.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the information collection should be made to Director, 
Information Management Division, 500 C Street SW, Washington, DC 20472, 
email address [email protected] or 
Rebekah Kennedy, Team Lead, Community Services Section, Individual 
Assistance Division, at (202) 212-1175 or [email protected].

SUPPLEMENTARY INFORMATION: This proposed information collection 
previously published in the Federal Register on June 29, 2021 at 86 FR 
34266 with a 60-day public comment period. No comments were received. 
The purpose of this notice is to notify the public that FEMA will 
submit the information collection abstracted below to the Office of 
Management and Budget for review and clearance.

Collection of Information

    Title: FEMA-Administered Disaster Case Management Intake Form.
    Type of information collection: New information collection.
    OMB Number: 1660-NW132.
    FEMA Forms: FF-104-FY-21-146 and FF-104-FY-21-147.
    Abstract: 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.
    Affected Public: Individuals and Households.
    Estimated Number of Respondents: 75,000.
    Estimated Number of Responses: 75,000.
    Estimated Total Annual Burden Hours: 48,000 burden hours.
    Estimated Total Annual Respondent Cost: $1,746,240.
    Estimated Respondents' Operation and Maintenance Costs: $0.
    Estimated Respondents' Capital and Start-Up Costs: $0.
    Estimated Total Annual Cost to the Federal Government: $51,640,374.

Comments

    Comments may be submitted as indicated in the ADDRESSES caption 
above. Comments are solicited to (a) evaluate whether the proposed data 
collection is necessary for the proper performance of the agency, 
including whether the information shall have practical utility; (b) 
evaluate the accuracy of the agency's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (c) enhance the quality, utility, and 
clarity of the information to be collected; and (d) minimize the burden 
of the collection of information on those who are to respond, including 
through the use of appropriate automated, electronic, mechanical, or 
other technological collection techniques or other forms of information 
technology, e.g., permitting electronic submission of responses.

Millicent L. Brown,
Acting Records Management Branch Chief, Office of the Chief 
Administrative Officer, Mission Support, Federal Emergency Management 
Agency, Department of Homeland Security.
[FR Doc. 2021-25101 Filed 11-16-21; 8:45 am]
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